Provider Demographics
NPI:1245457456
Name:TURNER, ANN WILLIAMS EMANUEL (RPH)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:WILLIAMS EMANUEL
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 1:1461 HILLSDALE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-1127
Mailing Address - Country:US
Mailing Address - Phone:408-978-7661
Mailing Address - Fax:408-269-8907
Practice Address - Street 1:WALGREENS DRUGSTORE #5219
Practice Address - Street 2:5 S. 1ST ST.
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95113
Practice Address - Country:US
Practice Address - Phone:408-283-0835
Practice Address - Fax:408-283-0831
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 38419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist