Individual
JAMES MACKENZIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
220 COURT SQ, DE WITT, AR 72042-2057
(870) 946-4211
(870) 946-1011
Mailing address
1202 E 21ST ST, STUTTGART, AR 72160-6910
(870) 830-8565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD16216
AR
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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