Healthcare Provider Details

I. General information

NPI: 1134772775
Provider Name (Legal Business Name): EVAN SAMUEL TURCO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2019
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MOUNT LEBANON BLVD
PITTSBURGH PA
15234-1252
US

IV. Provider business mailing address

127 MCCABE DR
GREENSBURG PA
15601-1025
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-2347
  • Fax:
Mailing address:
  • Phone: 724-600-5778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453555
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: