Provider Demographics
NPI:1356999106
Name:TURBA, JASON ALEXANDER JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ALEXANDER
Last Name:TURBA
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 BUTCHER KNIFE HILL RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16341-5123
Mailing Address - Country:US
Mailing Address - Phone:814-657-8107
Mailing Address - Fax:
Practice Address - Street 1:1231 BUTCHER KNIFE HILL RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16341-5123
Practice Address - Country:US
Practice Address - Phone:814-657-8107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist