Healthcare Provider Details

I. General information

NPI: 1295202687
Provider Name (Legal Business Name): KARLA TURNWALD RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 W WAYNE ST
PAULDING OH
45879-1544
US

IV. Provider business mailing address

PO BOX 414
OTTOVILLE OH
45876-0414
US

V. Phone/Fax

Practice location:
  • Phone: 419-339-1152
  • Fax:
Mailing address:
  • Phone: 419-231-5389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03324124
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: