Provider Demographics
NPI:1063620151
Name:NORMAN, HOWARD ANTHONY (RPH)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:ANTHONY
Last Name:NORMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S CARTHAGE DR
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-4413
Mailing Address - Country:US
Mailing Address - Phone:815-233-4323
Mailing Address - Fax:
Practice Address - Street 1:777 S CARTHAGE DR
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-4413
Practice Address - Country:US
Practice Address - Phone:815-233-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Not Answered183500000XPharmacy Service ProvidersPharmacist