Provider Demographics
NPI:1457456139
Name:TURNER, EDWARD SANDERS JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:SANDERS
Last Name:TURNER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 541
Mailing Address - Street 2:1665 ROWLAND YORK ROAD
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-0541
Mailing Address - Country:US
Mailing Address - Phone:706-359-4083
Mailing Address - Fax:706-359-7505
Practice Address - Street 1:125 NORTH WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-0009
Practice Address - Country:US
Practice Address - Phone:706-359-3343
Practice Address - Fax:706-359-7505
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist