Individual
DR. JADE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 699-5801
Mailing address
211 TOLAN BRANCH ROAD, FRENCHBURG, KY 40322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019910
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000
—
KY
Enumeration date
03/28/2019
Last updated
03/28/2019
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