Provider Demographics
NPI:1871842039
Name:NORMAN, RASHIDA JENEE (RPH)
Entity Type:Individual
Prefix:DR
First Name:RASHIDA
Middle Name:JENEE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:RASHIDA
Other - Middle Name:NORMAN
Other - Last Name:WYATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:620 SYREETA LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-1166
Mailing Address - Country:US
Mailing Address - Phone:770-306-1658
Mailing Address - Fax:
Practice Address - Street 1:2900 CUMBERLAND MALL SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-8107
Practice Address - Country:US
Practice Address - Phone:770-431-1709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0232541835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist