=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245457456
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANN WILLIAMS EMANUEL TURNER RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2007
-----------------------------------------------------
Last Update Date | 04/27/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | WALGREENS DRUGSTORE #5219 5 S. 1ST ST.
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-283-0835
-----------------------------------------------------
Fax | 408-283-0831
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1461 HILLSDALE AVENUE
-----------------------------------------------------
City | SAN JOSE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95118-1127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-978-7661
-----------------------------------------------------
Fax | 408-269-8907
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RPH 38419
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------