Healthcare Provider Details

I. General information

NPI: 1861552788
Provider Name (Legal Business Name): P. ANDREW TURNER D. PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 W. COMMERCIAL
INOLA OK
74036
US

IV. Provider business mailing address

14805 E 560 RD
INOLA OK
74036-5175
US

V. Phone/Fax

Practice location:
  • Phone: 918-543-8777
  • Fax: 918-543-2013
Mailing address:
  • Phone: 918-543-6996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11736
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: