Provider Demographics
NPI:1639173560
Name:TURAS PHARMACY INC
Entity Type:Organization
Organization Name:TURAS PHARMACY INC
Other - Org Name:TURAS PHARMACY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:TURA
Authorized Official - Suffix:
Authorized Official - Credentials:BS RPH
Authorized Official - Phone:781-585-2596
Mailing Address - Street 1:85 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1410
Mailing Address - Country:US
Mailing Address - Phone:781-585-2595
Mailing Address - Fax:781-585-8266
Practice Address - Street 1:85 SUMMER ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1410
Practice Address - Country:US
Practice Address - Phone:781-585-2595
Practice Address - Fax:781-585-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-09
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MA84203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0415146Medicaid
2038890OtherPK
2038890OtherPK