Individual
DR. BENNETT JACKSON DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, BCPP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840
(570) 888-5858
Mailing address
PO BOX 6000, BINGHAMTON, NY 13902-6000
(207) 313-9268
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PCT.0013678
CT
1835P1300X
Psychiatric Pharmacist
Primary
RP452472
PA
Other
Enumeration date
09/01/2016
Last updated
12/24/2018
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