Organization
DOUGHERTY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CALOIA (PRESIDENT)
(315) 684-3171
Entity
Organization
Contact information
Practice address
14 E MAIN ST BOX 237, MORRISVILLE, NY 13408
(315) 684-3171
Mailing address
14 E MAIN ST BOX 237, MORRISVILLE, NY 13408
(315) 684-3171
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01547662
—
NY
01
—
3376604
NCPDP
—
Enumeration date
07/26/2006
Last updated
03/10/2014
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