Provider Demographics
NPI:1548206352
Name:TOWNE DRUGS INC
Entity Type:Organization
Organization Name:TOWNE DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBBS-DICELLO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:570-622-2490
Mailing Address - Street 1:17 S CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-3003
Mailing Address - Country:US
Mailing Address - Phone:570-622-2490
Mailing Address - Fax:570-628-2167
Practice Address - Street 1:17 S CENTRE ST
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3003
Practice Address - Country:US
Practice Address - Phone:570-622-2490
Practice Address - Fax:570-628-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4127143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3948722OtherNABP NUMBER
PA0009886620001Medicaid
PA412714OtherSTATE PHARMACY PERMIT