Provider Demographics
NPI:1942295977
Name:TURNER, HARVEY RUDOLPH III
Entity Type:Individual
Prefix:MR
First Name:HARVEY
Middle Name:RUDOLPH
Last Name:TURNER
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 FOX CROFT CIR
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-6544
Mailing Address - Country:US
Mailing Address - Phone:540-798-9210
Mailing Address - Fax:
Practice Address - Street 1:1875 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-7207
Practice Address - Country:US
Practice Address - Phone:540-387-1696
Practice Address - Fax:540-387-5839
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202005292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist