MEDICARE: DANNY TURNER DPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	06371	TN

General Provider Information

NPI Number	:	1114520509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNY TURNER DPH

Provider Business Mailing Address
First Line	:	325 E MAIN ST
Second Line	:
City	:	WAVERLY
State	:	TN
Zip	:	37185-2125
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1119 MINERAL WELLS AVE
Second Line	:
City	:	PARIS
State	:	TN
Zip	:	38242-4903
Country	:	US
Telephone Number	:	731-642-4092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	11/18/2020

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