IndividualActive
John Dougherty, PHARMD
NPI 1619657145 · Compounded Sterile Preparations Pharmacist · Everett, WA
Provider details
- NPI number
- 1619657145
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- PH60317262 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1717 13th St Ste 300
Everett, WA 98201-1621
Phone: (425) 297-5500
Approximate (ZIP-level) locationGet directions
Mailing address
3522 222nd Pl Se
Bothell, WA 98021-4223
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.