Provider Demographics
NPI:1922321785
Name:TURBA, JASON ALEXANDER (RPH)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:ALEXANDER
Last Name:TURBA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-4803
Mailing Address - Country:US
Mailing Address - Phone:814-723-2008
Mailing Address - Fax:
Practice Address - Street 1:1666 MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-4803
Practice Address - Country:US
Practice Address - Phone:814-723-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP044836L183500000X
PARPI000569183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist