Provider Demographics
NPI:1851494660
Name:THE TOWERS PHARMACY, INC
Entity Type:Organization
Organization Name:THE TOWERS PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-434-4011
Mailing Address - Street 1:125 BAPTIST WAY
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503
Mailing Address - Country:US
Mailing Address - Phone:850-434-4540
Mailing Address - Fax:850-434-4549
Practice Address - Street 1:125 BAPTIST WAY
Practice Address - Street 2:SUITE 1F
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503
Practice Address - Country:US
Practice Address - Phone:850-434-4540
Practice Address - Fax:850-434-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104267000Medicaid
1037678OtherNCPDP