Provider Demographics
NPI:1447880968
Name:TURNER, TYLER DALTON (PHARMD, MPH)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:DALTON
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHARMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 IDLEWILD CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-2327
Mailing Address - Country:US
Mailing Address - Phone:334-531-1211
Mailing Address - Fax:
Practice Address - Street 1:530 INDUSTRIAL PARK BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-5543
Practice Address - Country:US
Practice Address - Phone:342-881-2883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-23
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0134951183500000X
AL22931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT033.0134951OtherPHARMACIST LICENSE
AL22931OtherPHARMACIST LICENSE