Individual
JACOB R. TURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
24276 166TH STREET, AIRPORT RD., EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 823, EAGLE BUTTE, SD 57625-0823
(724) 953-8226
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012204
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012204
WEST VIRGINIA BOARD OF PHARMACY
WV
Enumeration date
04/20/2021
Last updated
04/20/2021
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