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Individual

MR. JOSEPH THOMAS DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1365 SPUR DR, MARSHFIELD, MO 65706-2311
(417) 468-2530
(417) 859-7116
Mailing address
1365 SPUR DR, P.O. BOX 93, MARSHFIELD, MO 65706-2311
(417) 468-2530
(417) 859-7116

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2000163543
MO

Other

Enumeration date
02/17/2007
Last updated
10/03/2013
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