Individual
MR. JONAS BURNS DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARM, RPH, MS
Contact information
Practice address
5116 NORTH ROXBORO ROAD, DURHAM, NC 27704
(919) 471-6432
Mailing address
3520 HAWKS NEST LANE, ROUGEMONT, NC 27572
(919) 620-7557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8260
NC
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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