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NPI Code Detail

MEDICARE: JEFFREY TURNER R.PH.

MEDICARE: JEFFREY TURNER R.PH.
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
1183500000XPharmacistR9925-040WI
2183500000XPharmacist15773IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R9925-040OTHERWIWISCONSIN PHARMACY EXAMINING BOARD
215773OTHERIAIOWA PHARMACY EXAMINING BOARD

General Provider Information

NPI Number : 1346526803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY TURNER R.PH.
Provider Business Mailing Address
First Line : 9042 S YORK CT
Second Line :
City : OAK CREEK
State : WI
Zip : 53154-3730
Country : US
Telephone Number : 414-659-3810
Fax Number :
Provider Business Practice Location Address
First Line : 3109 S KINNICKINNIC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-2935
Country : US
Telephone Number : 414-482-3515
Fax Number : 414-482-9680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2011
Last Update Date : 10/28/2011

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