Individual
HEIDI DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
317 W LANCASTER AVE, ARDMORE, PA 19003-1403
(610) 658-0737
Mailing address
217 LINCOLN AVE, HAVERTOWN, PA 19083-3413
(610) 291-0634
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
RP039433
PA
Other
Enumeration date
10/20/2009
Last updated
11/12/2022
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