Healthcare Provider Details

I. General information

NPI: 1942295977
Provider Name (Legal Business Name): MR. HARVEY RUDOLPH TURNER III
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 ELECTRIC RD
SALEM VA
24153-7207
US

IV. Provider business mailing address

4316 FOX CROFT CIR
ROANOKE VA
24014-6544
US

V. Phone/Fax

Practice location:
  • Phone: 540-387-1696
  • Fax: 540-387-5839
Mailing address:
  • Phone: 540-798-9210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202005292
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: