Provider Demographics
NPI:1225279458
Name:TOWNSEND, DEBORAH M (RPH)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:M
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 ROGERS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-3803
Mailing Address - Country:US
Mailing Address - Phone:919-554-2699
Mailing Address - Fax:919-554-2199
Practice Address - Street 1:3113 ROGERS RD
Practice Address - Street 2:STE 100
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3803
Practice Address - Country:US
Practice Address - Phone:919-554-2699
Practice Address - Fax:919-554-2199
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist