Healthcare Provider Details

I. General information

NPI: 1720175581
Provider Name (Legal Business Name): KRISTI MICHELLE TURNEY PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PINE HILL HEALTH CENTER BIA ROUTE 125
PINE HILL NM
87357
US

IV. Provider business mailing address

PO BOX 310 PINE HILL HEALTH CENTER
PINE HILL NM
87357
US

V. Phone/Fax

Practice location:
  • Phone: 505-775-3271
  • Fax: 505-775-3633
Mailing address:
  • Phone: 505-775-3271
  • Fax: 505-775-3633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12915
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: