Provider Demographics
NPI:1942211438
Name:TOWNSHIP PHARMACY L L C
Entity Type:Organization
Organization Name:TOWNSHIP PHARMACY L L C
Other - Org Name:TOWNSHIP PROFESSIONAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-867-0800
Mailing Address - Street 1:108 W 1325 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7791
Mailing Address - Country:US
Mailing Address - Phone:435-867-0800
Mailing Address - Fax:435-867-0825
Practice Address - Street 1:108 W 1325 N
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7791
Practice Address - Country:US
Practice Address - Phone:435-867-0800
Practice Address - Fax:435-867-0825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
UT532820417033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2101169OtherPK
2101169OtherPK
5052350001Medicare NSC