MEDICARE: MARY BAKER TURNER PHARMD

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	34340	NC

General Provider Information

NPI Number	:	1205792363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BAKER TURNER PHARMD

Provider Business Mailing Address
First Line	:	5650 GOLDENBERRY CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-9840
Country	:	US
Telephone Number	:	336-486-3364
Fax Number	:

Provider Business Practice Location Address
First Line	:	12311 N NC HIGHWAY 150
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-9730
Country	:	US
Telephone Number	:	336-764-2581
Fax Number	:

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

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/02/2026

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