Provider Demographics
NPI:1932489572
Name:TURNER, RYAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
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 1:11185 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-5542
Mailing Address - Country:US
Mailing Address - Phone:615-773-4034
Mailing Address - Fax:615-773-4204
Practice Address - Street 1:11185 LEBANON RD
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-5542
Practice Address - Country:US
Practice Address - Phone:615-773-4034
Practice Address - Fax:615-773-4204
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist