Healthcare Provider Details

I. General information

NPI: 1134206824
Provider Name (Legal Business Name): TURNER RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 BUFFALOVILLE RD
DALE IN
47523-9693
US

IV. Provider business mailing address

PO BOX 717
DALE IN
47523-0717
US

V. Phone/Fax

Practice location:
  • Phone: 812-937-3648
  • Fax: 812-937-2843
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60005644A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GREGORY TURNER
Title or Position: OWNER
Credential: RPH
Phone: 812-937-3649