Organization
TOWNE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DEADWYLER (OWNER PHARMACIST)
(704) 636-6340
Entity
Organization
Contact information
Practice address
1408 W INNES ST, SALISBURY, NC 28144-2502
(704) 636-6340
(704) 647-0917
Mailing address
1408 W INNES ST, SALISBURY, NC 28144-2502
(704) 636-6340
(704) 647-0917
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
09022
NC
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805530
—
NC
05
—
0805570
—
NC
01
—
3410747
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/07/2006
Last updated
03/28/2008
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