Provider Demographics
NPI:1548534365
Name:TURNER, SHANE DAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHANE
Middle Name:DAY
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 HIGHWAY 101
Mailing Address - Street 2:PHARMACY
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-8807
Mailing Address - Country:US
Mailing Address - Phone:541-902-7333
Mailing Address - Fax:541-902-7327
Practice Address - Street 1:4701 HIGHWAY 101
Practice Address - Street 2:PHARMACY
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-8807
Practice Address - Country:US
Practice Address - Phone:541-902-7333
Practice Address - Fax:541-902-7327
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00128501835P0018X
ORRPH-001280183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist