Healthcare Provider Details

I. General information

NPI: 1063620151
Provider Name (Legal Business Name): HOWARD ANTHONY NORMAN R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S CARTHAGE DR
FREEPORT IL
61032-4413
US

IV. Provider business mailing address

777 S CARTHAGE DR
FREEPORT IL
61032-4413
US

V. Phone/Fax

Practice location:
  • Phone: 815-233-4323
  • Fax:
Mailing address:
  • Phone: 815-233-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: