Provider Demographics
NPI:1538454095
Name:TURRENTINE, AMBER LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:TURRENTINE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 TARGET PKWY N
Mailing Address - Street 2:NCD-0362W
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-4301
Mailing Address - Country:US
Mailing Address - Phone:763-203-2462
Mailing Address - Fax:
Practice Address - Street 1:7000 TARGET PKWY N
Practice Address - Street 2:NCD-0362W
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-4301
Practice Address - Country:US
Practice Address - Phone:763-203-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN118912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist