Individual
MR. BRAD DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
313 SIDNEY BAKER ST S, KERRVILLE, TX 78028-5916
(830) 792-5465
(830) 792-5464
Mailing address
313 SIDNEY BAKER ST S, KERRVILLE, TX 78028-5916
(830) 792-5465
(830) 792-5464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03213757
OH
183500000X
Pharmacist
Primary
48245
TX
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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