Provider Demographics
NPI:1407138118
Name:TOWNSEND, TRITIA MARGALIZITA (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRITIA
Middle Name:MARGALIZITA
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9283 S FAIRMONT CIR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3582
Mailing Address - Country:US
Mailing Address - Phone:901-737-0846
Mailing Address - Fax:
Practice Address - Street 1:6958 GOODMAN RD
Practice Address - Street 2:
Practice Address - City:OLIVE BRANCH
Practice Address - State:MS
Practice Address - Zip Code:38654-7034
Practice Address - Country:US
Practice Address - Phone:662-890-5047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13268183500000X
MST-010181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist