Provider Demographics
NPI:1043791429
Name:TURTURO, JACQUELYN NICOLE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:NICOLE
Last Name:TURTURO
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 1:412 COOLIDGE RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-1512
Mailing Address - Country:US
Mailing Address - Phone:315-520-5540
Mailing Address - Fax:
Practice Address - Street 1:12 PARK PL
Practice Address - Street 2:
Practice Address - City:ST JOHNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13452-1332
Practice Address - Country:US
Practice Address - Phone:518-568-2400
Practice Address - Fax:518-568-2208
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist