Provider Demographics
NPI:1902303712
Name:NORTON, SHANETTE WILKERSON (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHANETTE
Middle Name:WILKERSON
Last Name:NORTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHANETTE
Other - Middle Name:ANN
Other - Last Name:WILKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7386 HARBOUR TOWNE PKWY STE 21
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3464
Mailing Address - Country:US
Mailing Address - Phone:757-483-4129
Mailing Address - Fax:757-483-4240
Practice Address - Street 1:7386 HARBOUR TOWNE PKWY
Practice Address - Street 2:SUITE 21
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435
Practice Address - Country:US
Practice Address - Phone:757-483-4129
Practice Address - Fax:757-483-4240
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210887183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist