Provider Demographics
NPI:1144820051
Name:TURNER, MARSHA A
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 AVENUE OF MID AMERICA
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-4715
Mailing Address - Country:US
Mailing Address - Phone:217-342-5171
Mailing Address - Fax:
Practice Address - Street 1:1204 AVENUE OF MID AMERICA
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4715
Practice Address - Country:US
Practice Address - Phone:217-347-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.287741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist