Healthcare Provider Details

I. General information

NPI: 1811938764
Provider Name (Legal Business Name): TOWNE CENTRE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 ROUTE 55
POUGHQUAG NY
12570-5115
US

IV. Provider business mailing address

PO BOX 335
POUGHQUAG NY
12570-0335
US

V. Phone/Fax

Practice location:
  • Phone: 845-724-3200
  • Fax: 914-724-3767
Mailing address:
  • Phone: 845-724-3200
  • Fax: 845-724-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number021092
License Number StateNY

VIII. Authorized Official

Name: AAMIR PIRANI
Title or Position: OWNER
Credential:
Phone: 845-724-3200