Provider Demographics
NPI:1386703841
Name:TOWN CENTER PHARMACY, INC
Entity type:Organization
Organization Name:TOWN CENTER PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:III
Authorized Official - Credentials:RPH
Authorized Official - Phone:610-458-3767
Mailing Address - Street 1:606 WHARTON BLVD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1184
Mailing Address - Country:US
Mailing Address - Phone:610-458-3767
Mailing Address - Fax:610-458-3786
Practice Address - Street 1:606 WHARTON BLVD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1184
Practice Address - Country:US
Practice Address - Phone:161-045-8376
Practice Address - Fax:161-045-8378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039570R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty