Provider Demographics
NPI:1932517547
Name:TURLOCK'S NEW VISION INC
Entity Type:Organization
Organization Name:TURLOCK'S NEW VISION INC
Other - Org Name:TURLOCK'S NEW VISION PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:209-250-2582
Mailing Address - Street 1:2016 W MONTE VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-9664
Mailing Address - Country:US
Mailing Address - Phone:209-250-2582
Mailing Address - Fax:209-250-2587
Practice Address - Street 1:2016 W MONTE VISTA AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-9664
Practice Address - Country:US
Practice Address - Phone:209-250-2582
Practice Address - Fax:209-250-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-27
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy