Provider Demographics
NPI:1578123436
Name:TOWNE APOTHECARY LLC
Entity Type:Organization
Organization Name:TOWNE APOTHECARY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARM TEC
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:203-266-7801
Mailing Address - Street 1:95 MAIN ST SOUTH
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:CT
Mailing Address - Zip Code:06751
Mailing Address - Country:US
Mailing Address - Phone:203-266-7801
Mailing Address - Fax:203-266-5321
Practice Address - Street 1:95 MAIN ST SOUTH
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:CT
Practice Address - Zip Code:06751
Practice Address - Country:US
Practice Address - Phone:203-266-7801
Practice Address - Fax:203-266-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy