Individual
JULIA DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 PELHAM AVE SW, HUNTSVILLE, AL 35801-5016
(256) 606-7235
Mailing address
1207 TUNLAW RD SE, HUNTSVILLE, AL 35801-2514
(256) 606-7235
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22082
AL
390200000X
Student in an Organized Health Care Education/Training Program
S12319
AL
Other
Enumeration date
01/17/2019
Last updated
09/03/2021
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