Healthcare Provider Details

I. General information

NPI: 1417572538
Provider Name (Legal Business Name): TOWN CENTER PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 WHARTON BLVD
EXTON PA
19341-1184
US

IV. Provider business mailing address

606 WHARTON BLVD
EXTON PA
19341-1184
US

V. Phone/Fax

Practice location:
  • Phone: 610-458-3767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: WILLIAM SHORT
Title or Position: PHARMACIST
Credential:
Phone: 610-458-3767