Provider Demographics
NPI:1679888168
Name:TURNER, CHARLES WESLEY SR (RPH)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:WESLEY
Last Name:TURNER
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 DAWES RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8349
Mailing Address - Country:US
Mailing Address - Phone:251-633-0110
Mailing Address - Fax:
Practice Address - Street 1:2420 DAWES RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8349
Practice Address - Country:US
Practice Address - Phone:251-633-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist