Provider Demographics
NPI:1588099709
Name:TOWLER, JOSEPH ALAN (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALAN
Last Name:TOWLER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 PAMUNKEY RIVER FARMS DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-6092
Mailing Address - Country:US
Mailing Address - Phone:804-779-2726
Mailing Address - Fax:
Practice Address - Street 1:9300 PAMUNKEY RIVER FARMS DR
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-6092
Practice Address - Country:US
Practice Address - Phone:804-779-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202003689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202003689OtherVIRGINIA PHARMACIST LICENSE NUMBER