Organization
DOUGHERTYS PHARMACY INC
Active
Other names
DOUGHERTYS HOME CARE PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BOWE (CEA)
(972) 250-0945
Entity
Organization
Contact information
Practice address
515 PRESTON ROYAL VILLAGE, DALLAS, TX 75230
(214) 363-4310
(214) 363-6570
Mailing address
PO BOX 678050, DALLAS, TX 75267-8050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
16496
TX
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320153
—
TX
01
—
4594758
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/25/2006
Last updated
09/11/2025
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