Healthcare Provider Details

I. General information

NPI: 1013494921
Provider Name (Legal Business Name): TOWER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E OLIVE AVE
TURLOCK CA
95380
US

IV. Provider business mailing address

501 E OLIVE AVE
TURLOCK CA
95380-4012
US

V. Phone/Fax

Practice location:
  • Phone: 209-250-1786
  • Fax: 209-250-2815
Mailing address:
  • Phone: 209-250-1786
  • Fax: 209-250-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AMRUTA BAROT
Title or Position: CEO
Credential:
Phone: 209-250-1786