Provider Demographics
NPI:1366989378
Name:TOWNSEND, BETSY (PHARM D)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 COASTAL CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4319
Mailing Address - Country:US
Mailing Address - Phone:407-234-7777
Mailing Address - Fax:
Practice Address - Street 1:1075 COASTAL CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4319
Practice Address - Country:US
Practice Address - Phone:407-234-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-28
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPU48151835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric