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Organization

DAUGHERTY PHARMACIES, LLC

Active
Other names
STANLEY'S PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOE DAUGHERTY RPH (PRESIDENT)
(417) 468-2530
Entity
Organization

Contact information

Practice address
1365 SPUR DR, MARSHFIELD, MO 65706-2311
(417) 468-2530
(417) 859-7116
Mailing address
PO BOX 93, MARSHFIELD, MO 65706-0093
(417) 468-2530
(417) 859-7116

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620663401
MO
Enumeration date
08/14/2006
Last updated
08/27/2008
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