Provider Demographics
NPI:1336793108
Name:STAUTER, CLAIRE NORMAN (PHARMD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:NORMAN
Last Name:STAUTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:CLAIRE
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STUDENT PHARMACIST
Mailing Address - Street 1:1498 OPELIKA RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1498 OPELIKA RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3318
Practice Address - Country:US
Practice Address - Phone:334-887-7636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist