Provider Demographics
NPI:1659656247
Name:TURMAN, ANGELA RENEE (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:ANGELA
Middle Name:RENEE
Last Name:TURMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18426 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:ILLINOIS
Mailing Address - Zip Code:60438
Mailing Address - Country:UM
Mailing Address - Phone:708-268-3336
Mailing Address - Fax:
Practice Address - Street 1:18133 TORRENCE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2157
Practice Address - Country:US
Practice Address - Phone:708-889-0130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL039551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist