Individual
MS. ADELE MARIE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 COLONIAL DR, MOUNTAIN TOP, PA 18707-2307
(570) 550-2123
Mailing address
13 COLONIAL DR, MOUNTAIN TOP, PA 18707-2307
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PTE013180
PA
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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