Provider Demographics
NPI:1316489792
Name:HOOTEN, NORMAN GLENN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:GLENN
Last Name:HOOTEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9722 SWEETLEAF ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-6813
Mailing Address - Country:US
Mailing Address - Phone:202-674-3388
Mailing Address - Fax:
Practice Address - Street 1:9722 SWEETLEAF ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-6813
Practice Address - Country:US
Practice Address - Phone:202-674-3388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS55866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist