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NPI Code Detail

MEDICARE: TRITIA MARGALIZITA TOWNSEND PHARMD

MEDICARE:   TRITIA MARGALIZITA 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
1183500000XPharmacist13268TN
2183500000XPharmacistT-010181MS

General Provider Information

NPI Number : 1407138118
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRITIA MARGALIZITA TOWNSEND PHARMD
Provider Business Mailing Address
First Line : 9283 S FAIRMONT CIR
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-3582
Country : US
Telephone Number : 901-737-0846
Fax Number :
Provider Business Practice Location Address
First Line : 6958 GOODMAN RD
Second Line :
City : OLIVE BRANCH
State : MS
Zip : 38654-7034
Country : US
Telephone Number : 662-890-5047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/20/2011

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Directions to “ TRITIA MARGALIZITA TOWNSEND PHARMD” Practice Location

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