MEDICARE: TURENNE PHARMEDCO, INC.

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	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811990203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURENNE PHARMEDCO, INC.

Provider Business Mailing Address
First Line	:	355 INDUSTRIAL PARK BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-5550
Country	:	US
Telephone Number	:	334-244-0200
Fax Number	:	334-394-2286

Provider Business Practice Location Address
First Line	:	355 INDUSTRIAL PARK BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-5550
Country	:	US
Telephone Number	:	334-244-0200
Fax Number	:	334-394-2286

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ROGER TURENNE
Credential	:
Telephone Number	:	334-265-3900

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/29/2016

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