Individual
DENNIS DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
110 DELAWARE AVE, OLYPHANT, PA 18447-1518
(570) 499-1900
Mailing address
110 DELAWARE AVE, OLYPHANT, PA 18447-1518
(570) 499-1900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP032936L
PA
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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