Individual
LORI LYNN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
806 MCARTHUR ST, MANCHESTER, TN 37355-4426
(931) 728-0874
(931) 728-7318
Mailing address
115 SALTVILLE CT, SMYRNA, TN 37167-1207
(610) 509-7344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41955
TN
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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