Provider Demographics
NPI:1740775469
Name:TURNER, WILLIAM JUSTIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JUSTIN
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:JUSTIN
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2615 JACOBS PILLAR RD
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37166-6239
Mailing Address - Country:US
Mailing Address - Phone:615-483-6260
Mailing Address - Fax:
Practice Address - Street 1:483 W BOCKMAN WAY
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-1832
Practice Address - Country:US
Practice Address - Phone:931-836-3230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42169183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist