Healthcare Provider Details

I. General information

NPI: 1073997771
Provider Name (Legal Business Name): LAURIE TURNIPSEED PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 VETERANS MEMORIAL BLVD
EUPORA MS
39744-2064
US

IV. Provider business mailing address

1357 VETERANS MEMORIAL BLVD
EUPORA MS
39744-2064
US

V. Phone/Fax

Practice location:
  • Phone: 662-258-2631
  • Fax: 662-258-3868
Mailing address:
  • Phone: 662-258-2631
  • Fax: 662-258-3868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberE-08789
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: