Healthcare Provider Details

I. General information

NPI: 1760192611
Provider Name (Legal Business Name): BRIAN F NORMAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BUTTERNUT DR
GREENVILLE SC
29605-4655
US

IV. Provider business mailing address

3 BUTTERNUT DR
GREENVILLE SC
29605-4655
US

V. Phone/Fax

Practice location:
  • Phone: 864-522-3340
  • Fax: 864-522-3345
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number37655
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: