Organization
DOUGHERTYS LTC PHARMACY LLC
Active
Other names
DOUGHERTY'S LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KOMUVES (PRESIDENT&CEO)
(972) 860-0229
Entity
Organization
Contact information
Practice address
5959 ROYAL LN STE 513, DALLAS, TX 75230-3856
(214) 373-5301
(214) 373-5333
Mailing address
5959 ROYAL LN, SUITE 513, DALLAS, TX 75230-3856
(214) 373-5301
(214) 373-5333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
31452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2169947
PK
—
05
—
351064
—
TX
Enumeration date
06/15/2017
Last updated
09/19/2025
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