Provider Demographics
NPI:1336449164
Name:TURNER, SUSAN S (RPH)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:S
Last Name:TURNER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3633 81ST AVE SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98512-7461
Mailing Address - Country:US
Mailing Address - Phone:360-943-6950
Mailing Address - Fax:
Practice Address - Street 1:1100 S MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-3428
Practice Address - Country:US
Practice Address - Phone:360-740-6750
Practice Address - Fax:370-740-8985
Is Sole Proprietor?:No
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00010606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist