Provider Demographics
NPI:1639464449
Name:TOWLER, THY H
Entity Type:Individual
Prefix:
First Name:THY
Middle Name:H
Last Name:TOWLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 N MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-2228
Mailing Address - Country:US
Mailing Address - Phone:757-461-9356
Mailing Address - Fax:757-461-9356
Practice Address - Street 1:1245 N MILITARY HWY
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2228
Practice Address - Country:US
Practice Address - Phone:757-461-9356
Practice Address - Fax:757-461-9356
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010699183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist