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Individual

JENNY L DOUGHTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1300 EAST BLVD STE B, CHARLOTTE, NC 28203-5802
(704) 910-4288
(704) 910-4294
Mailing address
1300 EAST BLVD STE B, CHARLOTTE, NC 28203-5802
(704) 910-4288
(704) 910-4294

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16806
NC

Other

Enumeration date
01/07/2011
Last updated
09/21/2015
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