MEDICARE: SHANITA NORWOOD PHARMD

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	PS62716	FL

General Provider Information

NPI Number	:	1376213595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANITA NORWOOD PHARMD

Provider Business Mailing Address
First Line	:	17940 VILLA CREEK DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2579
Country	:	US
Telephone Number	:	850-284-4953
Fax Number	:

Provider Business Practice Location Address
First Line	:	1702 N 50TH ST STE C
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-3106
Country	:	US
Telephone Number	:	813-800-6337
Fax Number	:	813-333-1433

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

Provider Enumeration Date	:	09/18/2021
Last Update Date	:	09/18/2021

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Directions to “ SHANITA NORWOOD PHARMD” Practice Location

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