Provider Demographics
NPI:1770254823
Name:TURNER, DYLAN CHASE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:CHASE
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 1:4242 SECOND ST N
Mailing Address - Street 2:
Mailing Address - City:FOLKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:31537-9367
Mailing Address - Country:US
Mailing Address - Phone:912-496-7759
Mailing Address - Fax:
Practice Address - Street 1:4242 SECOND ST N
Practice Address - Street 2:
Practice Address - City:FOLKSTON
Practice Address - State:GA
Practice Address - Zip Code:31537-9367
Practice Address - Country:US
Practice Address - Phone:912-496-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH033312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist