Provider Demographics
NPI:1124666532
Name:TOWNSEND, MICHELLE L (RPH)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:L
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:LYNNE
Other - Last Name:TOWNSEND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:3350 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-1662
Mailing Address - Country:US
Mailing Address - Phone:619-424-7030
Mailing Address - Fax:
Practice Address - Street 1:3350 PALM AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-1662
Practice Address - Country:US
Practice Address - Phone:619-424-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist