Provider Demographics
NPI:1942393384
Name:TOWERS PHARMACY INC
Entity Type:Organization
Organization Name:TOWERS PHARMACY INC
Other - Org Name:TOWERS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PARTH
Authorized Official - Middle Name:ASHVINKUMAR
Authorized Official - Last Name:SAVALIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-522-7791
Mailing Address - Street 1:5451 LA PALMA AVE
Mailing Address - Street 2:SUITE 17
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1729
Mailing Address - Country:US
Mailing Address - Phone:714-522-7791
Mailing Address - Fax:714-522-0779
Practice Address - Street 1:5451 LA PALMA AVE
Practice Address - Street 2:SUITE 17
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1729
Practice Address - Country:US
Practice Address - Phone:714-522-7791
Practice Address - Fax:714-522-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-30
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA536083336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAUZCMedicaid
2152994OtherPK
CAUZCMedicaid