Provider Demographics
NPI:1417467127
Name:TURTON, ABIMBOLA F
Entity Type:Individual
Prefix:
First Name:ABIMBOLA
Middle Name:F
Last Name:TURTON
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 1:5656 CHEW AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19138-1742
Mailing Address - Country:US
Mailing Address - Phone:215-929-1361
Mailing Address - Fax:267-385-6906
Practice Address - Street 1:5656 CHEW AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19138-1742
Practice Address - Country:US
Practice Address - Phone:215-929-1361
Practice Address - Fax:267-385-6906
Is Sole Proprietor?:No
Enumeration Date:2017-10-07
Last Update Date:2017-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist