Provider Demographics
NPI:1851992465
Name:TURNER, NICHOLAS WADE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:WADE
Last Name:TURNER
Suffix:
Gender:M
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 1:747 NELMS DR
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-6737
Mailing Address - Country:US
Mailing Address - Phone:901-832-5359
Mailing Address - Fax:
Practice Address - Street 1:301 INDIAN LAKE BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6218
Practice Address - Country:US
Practice Address - Phone:901-832-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37971183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist