Provider Demographics
NPI:1306449996
Name:TURNER, WESLEY JORDAN (PHARMD)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:JORDAN
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 1:12 BLACKBEARD LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1402
Mailing Address - Country:US
Mailing Address - Phone:706-833-2360
Mailing Address - Fax:
Practice Address - Street 1:1 SKIDAWAY VILLAGE WALK
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-2908
Practice Address - Country:US
Practice Address - Phone:912-598-8669
Practice Address - Fax:912-598-7208
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH032149183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist