Provider Demographics
NPI:1558458547
Name:TOWERS, TERRENCE THOMAS (BS PHARMACY)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:THOMAS
Last Name:TOWERS
Suffix:
Gender:M
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:NY
Mailing Address - Zip Code:12822-1104
Mailing Address - Country:US
Mailing Address - Phone:518-654-9845
Mailing Address - Fax:
Practice Address - Street 1:3 PALMER AVE
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:NY
Practice Address - Zip Code:12822-1121
Practice Address - Country:US
Practice Address - Phone:518-654-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy