Provider Demographics
NPI:1255936811
Name:TURNER, SARA MICHELLE (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:MICHELLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 FM 2650
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-0145
Mailing Address - Country:US
Mailing Address - Phone:940-636-7474
Mailing Address - Fax:
Practice Address - Street 1:5131 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302-4151
Practice Address - Country:US
Practice Address - Phone:940-397-9662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51596183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist