MEDICARE: MR. DOUGLAS ALLEN TOWSEN R.PH.

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
1	183500000X	Pharmacist	RP027226L	PA

General Provider Information

NPI Number	:	1386976546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLAS ALLEN TOWSEN R.PH.

Provider Business Mailing Address
First Line	:	5050 JONESTOWN RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-2921
Country	:	US
Telephone Number	:	717-652-9190
Fax Number	:	717-671-8369

Provider Business Practice Location Address
First Line	:	5050 JONESTOWN RD
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-2921
Country	:	US
Telephone Number	:	717-652-9190
Fax Number	:	717-671-8369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2010
Last Update Date	:	02/12/2010

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