Individual
CHELSEA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
311 N HOSPITAL DR, PAOLA, KS 66071-1303
(913) 294-3516
Mailing address
311 N HOSPITAL DR, PAOLA, KS 66071-1303
(913) 294-3516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15452
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1704697
NABP
KS
Enumeration date
07/11/2014
Last updated
07/11/2014
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