Individual
MATTHEW DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5713 EDMONDSON PIKE, NASHVILLE, TN 37211
(615) 315-9459
Mailing address
5713 EDMONDSON PIKE, NASHVILLE, TN 37211-6216
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
36746
TN
Other
Enumeration date
08/20/2013
Last updated
08/26/2013
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