Provider Demographics
NPI:1376213595
Name:NORWOOD, SHANITA (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHANITA
Middle Name:
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17940 VILLA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2579
Mailing Address - Country:US
Mailing Address - Phone:850-284-4953
Mailing Address - Fax:
Practice Address - Street 1:1702 N 50TH ST STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-3106
Practice Address - Country:US
Practice Address - Phone:813-800-6337
Practice Address - Fax:813-333-1433
Is Sole Proprietor?:No
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS62716183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist