Provider Demographics
NPI:1245829258
Name:TURK, HEIDI SARA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:SARA
Last Name:TURK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13316-1216
Mailing Address - Country:US
Mailing Address - Phone:315-245-1224
Mailing Address - Fax:
Practice Address - Street 1:2 PRESTON ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316-1216
Practice Address - Country:US
Practice Address - Phone:315-245-1224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061803183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist