Provider Demographics
NPI:1659708766
Name:TURNER, ALEX MICAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:MICAH
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 LIBERTY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7546
Mailing Address - Country:US
Mailing Address - Phone:256-390-5518
Mailing Address - Fax:
Practice Address - Street 1:784 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1800
Practice Address - Country:US
Practice Address - Phone:256-390-5518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist