Provider Demographics
NPI:1083716633
Name:TURNER, JAMES G (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
Last Name:TURNER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:IL
Mailing Address - Zip Code:61401-4526
Mailing Address - Country:US
Mailing Address - Phone:309-343-9168
Mailing Address - Fax:309-343-4616
Practice Address - Street 1:12 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:IL
Practice Address - Zip Code:61401-4526
Practice Address - Country:US
Practice Address - Phone:309-343-9168
Practice Address - Fax:309-343-4616
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist