Individual
ALIVIA DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2501 W WILLIAM CANNON DR STE 203, AUSTIN, TX 78745-5255
(512) 707-2300
(512) 707-2378
Mailing address
3014 W WILLIAM CANNON DR APT 324, AUSTIN, TX 78745-5137
(765) 215-5776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26029277A
IN
183500000X
Pharmacist
Primary
68741
TX
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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