Provider Demographics
NPI:1881815983
Name:TOWNE PHARMACY
Entity Type:Organization
Organization Name:TOWNE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-885-3318
Mailing Address - Street 1:200 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CUBA
Mailing Address - State:MO
Mailing Address - Zip Code:65453-1705
Mailing Address - Country:US
Mailing Address - Phone:573-885-3318
Mailing Address - Fax:573-885-6798
Practice Address - Street 1:200 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CUBA
Practice Address - State:MO
Practice Address - Zip Code:65453-1705
Practice Address - Country:US
Practice Address - Phone:573-885-3318
Practice Address - Fax:573-885-6798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4929332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies