Provider Demographics
NPI:1386974533
Name:TURLEY, MATTHEW M (PHARMD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
Last Name:TURLEY
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 1:1903 S COLE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-4661
Mailing Address - Country:US
Mailing Address - Phone:480-704-4225
Mailing Address - Fax:
Practice Address - Street 1:755 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8743
Practice Address - Country:US
Practice Address - Phone:480-833-2195
Practice Address - Fax:480-833-0947
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist