Individual
COLLEEN THERESE DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7280 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3016
(651) 458-7002
(651) 458-4110
Mailing address
7280 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3016
(651) 458-7002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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