Provider Demographics
NPI:1942550280
Name:TURBYFILL, ADAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:TURBYFILL
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 1:1314 19TH AVE
Mailing Address - Street 2:RUSH PHARMACY
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-4116
Mailing Address - Country:US
Mailing Address - Phone:601-703-9343
Mailing Address - Fax:601-626-8082
Practice Address - Street 1:9155 HWY 19
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:MS
Practice Address - Zip Code:39325-0175
Practice Address - Country:US
Practice Address - Phone:601-626-8242
Practice Address - Fax:601-626-8082
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-010873183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist