Provider Demographics
NPI:1922648344
Name:TURNER, CAMERON MARSHALL (PHARMD)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:MARSHALL
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 1:1202 E IBERIA RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2724
Mailing Address - Country:US
Mailing Address - Phone:703-401-1326
Mailing Address - Fax:
Practice Address - Street 1:160 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-1637
Practice Address - Country:US
Practice Address - Phone:703-401-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0017330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist