Provider Demographics
NPI:1316104169
Name:NORTON, AMANDA B
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:B
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14978 RANKIN AVE
Mailing Address - Street 2:RITE AID PHARMACY
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327
Mailing Address - Country:US
Mailing Address - Phone:423-949-4049
Mailing Address - Fax:423-949-6850
Practice Address - Street 1:14978 RANKIN AVE
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-7006
Practice Address - Country:US
Practice Address - Phone:423-949-4049
Practice Address - Fax:423-949-6850
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist