<Unavail>

LBN: Doughertys Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 12835 Preston Rd Ste 202 , Dallas TX 75230-1277. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Doughertys Pharmacy Inc can be contacted via phone (214) 373-5300, or through Dewitt, Terry via phone (254) 722-7912.

Contact Information

Primary practice address
12835 Preston Rd Ste 202 Dallas TX 75230-1277
Phone: (214) 373-5300
Fax: (214) 739-0238
Website:
Map and Directions
Authorized official contact:
Name: Dewitt, Terry
Phone: (254) 722-7912

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 03246 Texas
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1124012315
LBN Legal business name Doughertys Pharmacy Inc
DBA Doing business as <Unavail>
Authorized official Dewitt, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2005
Last updated Nov 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124012315 NPPES
Texas MEDICAID 086333401
Texas Other 2099454

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