Provider Demographics
NPI:1720175581
Name:TURNEY, KRISTI MICHELLE (PHARM D)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:MICHELLE
Last Name:TURNEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:PINE HILL HEALTH CENTER
Mailing Address - City:PINE HILL
Mailing Address - State:NM
Mailing Address - Zip Code:87357
Mailing Address - Country:US
Mailing Address - Phone:505-775-3271
Mailing Address - Fax:505-775-3633
Practice Address - Street 1:PINE HILL HEALTH CENTER
Practice Address - Street 2:BIA ROUTE 125
Practice Address - City:PINE HILL
Practice Address - State:NM
Practice Address - Zip Code:87357
Practice Address - Country:US
Practice Address - Phone:505-775-3271
Practice Address - Fax:505-775-3633
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist