Provider Demographics
NPI:1033876826
Name:NORWOOD, BRODY (PHARMD)
Entity Type:Individual
Prefix:
First Name:BRODY
Middle Name:
Last Name:NORWOOD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8398 W 700 N
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-8824
Mailing Address - Country:US
Mailing Address - Phone:260-450-3074
Mailing Address - Fax:
Practice Address - Street 1:8398 W 700 N
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:IN
Practice Address - Zip Code:46750-8824
Practice Address - Country:US
Practice Address - Phone:260-224-9087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26029268A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist