Provider Demographics
NPI:1982031191
Name:TURNER, TANYA MCNAMARA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:MCNAMARA
Last Name:TURNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3082
Mailing Address - Country:US
Mailing Address - Phone:318-256-1148
Mailing Address - Fax:318-256-1169
Practice Address - Street 1:223 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3082
Practice Address - Country:US
Practice Address - Phone:318-256-1148
Practice Address - Fax:318-256-1169
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist