Provider Demographics
NPI:1871039651
Name:TOWN PHARMACY AND GIFTS LLC
Entity Type:Organization
Organization Name:TOWN PHARMACY AND GIFTS LLC
Other - Org Name:MIDTOWN PHARMACY AND GIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TURFITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-467-5574
Mailing Address - Street 1:620 BLUE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:BAY ST LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-2834
Mailing Address - Country:US
Mailing Address - Phone:228-467-5574
Mailing Address - Fax:
Practice Address - Street 1:620 BLUE MEADOW RD
Practice Address - Street 2:
Practice Address - City:BAY ST LOUIS
Practice Address - State:MS
Practice Address - Zip Code:39520-2834
Practice Address - Country:US
Practice Address - Phone:228-467-5574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MS151283336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167327OtherPK