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NPI Code Detail

MEDICARE: DR. DAVON MARQUITA TOWNSEND PHARMD

MEDICARE: DR. DAVON MARQUITA TOWNSEND PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist22220NC

General Provider Information

NPI Number : 1104195262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVON MARQUITA TOWNSEND PHARMD
Provider Business Mailing Address
First Line : 8023 SUNSET BRANCH CT
Second Line :
City : RALEIGH
State : NC
Zip : 27612-1934
Country : US
Telephone Number : 910-736-0201
Fax Number :
Provider Business Practice Location Address
First Line : 3601 DAVIS DR
Second Line :
City : MORRISVILLE
State : NC
Zip : 27560-8845
Country : US
Telephone Number : 919-468-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2011
Last Update Date : 12/19/2011

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