Provider Demographics
NPI:1043104375
Name:TOUGAW, JOHN L (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:L
Last Name:TOUGAW
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20403 OLD HIGHWAY 9 SW
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-7915
Mailing Address - Country:US
Mailing Address - Phone:360-490-1103
Mailing Address - Fax:
Practice Address - Street 1:20403 OLD HIGHWAY 9 SW
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-7915
Practice Address - Country:US
Practice Address - Phone:360-490-1103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00016066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist