Healthcare Provider Details

I. General information

NPI: 1962154005
Provider Name (Legal Business Name): PATRICIA TURNER PD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 S MILL ST
MARVELL AR
72366-9302
US

IV. Provider business mailing address

406 S MILL ST
MARVELL AR
72366-9302
US

V. Phone/Fax

Practice location:
  • Phone: 870-829-9116
  • Fax: 870-829-1152
Mailing address:
  • Phone: 870-829-1168
  • Fax: 870-829-1152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD07340
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: