Provider Demographics
NPI:1629573068
Name:DEHR-TURRELL, ANYA REGINA (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:ANYA
Middle Name:REGINA
Last Name:DEHR-TURRELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5437 N BREMONT WAY
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-5815
Mailing Address - Country:US
Mailing Address - Phone:480-606-8500
Mailing Address - Fax:
Practice Address - Street 1:2601 E HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-8927
Practice Address - Country:US
Practice Address - Phone:928-774-3415
Practice Address - Fax:928-774-3415
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS019607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist