Provider Demographics
NPI:1205439809
Name:TURNEY, CHRISTOPHER SHAWN
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SHAWN
Last Name:TURNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:CHRIS
Other - Middle Name:S
Other - Last Name:TURNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:191 EISENHOWER DR
Mailing Address - Street 2:
Mailing Address - City:BROADWAY
Mailing Address - State:VA
Mailing Address - Zip Code:22815-9745
Mailing Address - Country:US
Mailing Address - Phone:540-560-5069
Mailing Address - Fax:
Practice Address - Street 1:1151 PORT REPUBLIC RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3509
Practice Address - Country:US
Practice Address - Phone:540-433-2437
Practice Address - Fax:540-433-0928
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202205256183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0548606Medicaid