Provider Demographics
NPI:1720368269
Name:WARNER, REBECCA TURVILLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:TURVILLE
Last Name:WARNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9525 CROSSHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-5812
Mailing Address - Country:US
Mailing Address - Phone:904-248-4367
Mailing Address - Fax:904-438-7931
Practice Address - Street 1:9525 CROSSHILL BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32222-5812
Practice Address - Country:US
Practice Address - Phone:904-248-4367
Practice Address - Fax:904-438-7931
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist