Healthcare Provider Details

I. General information

NPI: 1659656247
Provider Name (Legal Business Name): ANGELA RENEE TURMAN PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2011
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18133 TORRENCE AVE
LANSING IL
60438-2157
US

IV. Provider business mailing address

18426 CARRIAGE LN
LANSING ILLINOIS
60438
UM

V. Phone/Fax

Practice location:
  • Phone: 708-889-0130
  • Fax:
Mailing address:
  • Phone: 708-268-3336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number039551
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: