Provider Demographics
NPI:1164134359
Name:TUROVSKY, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:TUROVSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 CENTRAL AVE # 3-004
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1976
Mailing Address - Country:US
Mailing Address - Phone:401-724-6724
Mailing Address - Fax:
Practice Address - Street 1:WALGREENS PHARMACY
Practice Address - Street 2:100 BROAD ST
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-0286
Practice Address - Country:US
Practice Address - Phone:401-724-6724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH064791835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist