Provider Demographics
NPI:1578834537
Name:TURNER, TERRY (RPH)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
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 1:1505 S BELCHER RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7603
Mailing Address - Country:US
Mailing Address - Phone:727-536-7552
Mailing Address - Fax:727-536-7262
Practice Address - Street 1:1505 S BELCHER RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-7603
Practice Address - Country:US
Practice Address - Phone:727-536-7552
Practice Address - Fax:727-536-7262
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21117183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist