Individual
DR. MARCI LYNN DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, CGP
Contact information
Practice address
16168 HOWDEN DR, WESTFIELD, IN 46074-5522
(317) 450-0681
(317) 755-0673
Mailing address
16168 HOWDEN DR, WESTFIELD, IN 46074-5522
(317) 450-0681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03120858
OH
183500000X
Pharmacist
Primary
26021357A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20858
PHARMACY LICENSE
OH
01
—
26021357A
PHARMACY LICENSE
IN
Enumeration date
10/07/2005
Last updated
11/21/2012
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