MEDICARE: WRENN EARL NORVELL 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	40664	TX

General Provider Information

NPI Number	:	1598072274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WRENN EARL NORVELL PHARMD

Provider Business Mailing Address
First Line	:	3267 HUNTERS GLEN DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3615
Country	:	US
Telephone Number	:	713-806-1438
Fax Number	:

Provider Business Practice Location Address
First Line	:	3267 HUNTERS GLEN DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3615
Country	:	US
Telephone Number	:	713-806-1438
Fax Number	:

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

Provider Enumeration Date	:	09/02/2010
Last Update Date	:	09/02/2010

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