Provider Demographics
NPI:1508177213
Name:NORTON, MARCUS ALLEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARCUS
Middle Name:ALLEN
Last Name:NORTON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:NORTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14857 RANKIN AVE
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327-7043
Mailing Address - Country:US
Mailing Address - Phone:423-949-7703
Mailing Address - Fax:423-949-9310
Practice Address - Street 1:14857 RANKIN AVE
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-7043
Practice Address - Country:US
Practice Address - Phone:423-949-7703
Practice Address - Fax:423-949-9310
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11241183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist