MEDICARE: MS. ELOISE A. NORWOOD R.PH.

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
1	183500000X	Pharmacist	03-1-14972	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34-1493202	OTHER		TAX ID #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588769657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELOISE A. NORWOOD R.PH.

Provider Business Mailing Address
First Line	:	2256 COLLINGWOOD BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43620-1147
Country	:	US
Telephone Number	:	419-255-5945
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 COLLINGWOOD BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-5011
Country	:	US
Telephone Number	:	419-244-1809
Fax Number	:	419-244-1877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/03/2010

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