Provider Demographics
NPI:1215537386
Name:TURLEY, JERRY LEE JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:LEE
Last Name:TURLEY
Suffix:JR
Gender:M
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 1:601 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24605-9221
Mailing Address - Country:US
Mailing Address - Phone:276-322-3834
Mailing Address - Fax:276-322-1759
Practice Address - Street 1:601 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:VA
Practice Address - Zip Code:24605-9221
Practice Address - Country:US
Practice Address - Phone:276-322-3834
Practice Address - Fax:276-322-1759
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202204222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist