Individual
ANDREW J DOHERTY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117A VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-2532
(910) 371-1614
Mailing address
117A VILLAGE RD NE, LELAND, NC 28451-7413
(910) 371-2532
(910) 371-1614
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21290
NC
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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