Healthcare Provider Details

I. General information

NPI: 1114980844
Provider Name (Legal Business Name): MARY LOUISE TOWNSEND PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 FULTON ST PHARMACY DEPARTMENT
DURHAM NC
27705-3875
US

IV. Provider business mailing address

104 SAN MIGUEL PL
CHAPEL HILL NC
27514-1811
US

V. Phone/Fax

Practice location:
  • Phone: 919-286-0411
  • Fax:
Mailing address:
  • Phone: 919-286-0411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15837
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15837
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: