Individual
DAVID DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6314 N 9TH AVE, PENSACOLA, FL 32504-7320
(850) 476-9669
Mailing address
2149 PINEVIEW CIR, PENSACOLA, FL 32526-8877
(314) 517-6069
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS44210
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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