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NPI Code Detail

MEDICARE: DOUGLAS NORRIS RPH

MEDICARE: DOUGLAS NORRIS RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist11337OH

General Provider Information

NPI Number : 1275827750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS NORRIS RPH
Provider Business Mailing Address
First Line : 20405 CHAGRIN BLVD
Second Line :
City : SHAKER HTS
State : OH
Zip : 44122-5324
Country : US
Telephone Number : 216-752-4866
Fax Number : 216-767-0987
Provider Business Practice Location Address
First Line : 20405 CHAGRIN BLVD
Second Line :
City : SHAKER HTS
State : OH
Zip : 44122-5324
Country : US
Telephone Number : 216-752-4866
Fax Number : 216-767-0987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2011
Last Update Date : 06/02/2011

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