Individual
KYLE BLAKE TOWNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
Mailing address
155 S 100 W, MORGAN, UT 84050-9473
(801) 821-0009
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
65588
CA
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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