Organization · Type 2 NPI
Doughertys LTC Pharmacy LLC
Long Term Care Pharmacy · Dallas, TX
NPI number
1578093183
Active
Practice location
5959 Royal Ln Ste 513
Dallas, TX 75230-3856
Fax (214) 373-5333
Mailing address
5959 Royal Ln, Suite 513
Dallas, TX 75230-3856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | 31452 (TX) |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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About NPI 1578093183
Doughertys LTC Pharmacy LLC's National Provider Identifier is 1578093183, issued on Jun 15, 2017. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Dallas, TX. The record was last updated on Sep 19, 2025.