Organization
DOUGHERTY'S PHARMACY INC.
Active
Other names
dba Dougherty's Home Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE BUCK PARK R.PH. (PRESIDENT)
(214) 363-6558
Entity
Organization
Contact information
Practice address
515 PRESTON ROYAL VILLAGE, DALLAS, TX 75230
(214) 363-6558
(214) 363-6570
Mailing address
515 PRESTON ROYAL VILLAGE, DALLAS, TX 75230
(214) 363-6558
(214) 363-6570
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
16496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320153
—
TX
Enumeration date
09/05/2006
Last updated
10/29/2008
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