Provider Demographics
NPI:1144528373
Name:NORWOOD, HENRY ALAN (RPH)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:ALAN
Last Name:NORWOOD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201B ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-5203
Mailing Address - Country:US
Mailing Address - Phone:662-328-5551
Mailing Address - Fax:662-329-0178
Practice Address - Street 1:201B ALABAMA ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-5203
Practice Address - Country:US
Practice Address - Phone:662-328-5551
Practice Address - Fax:662-329-0178
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST08290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist