Provider Demographics
NPI:1922216456
Name:NORTON, MARY L (RPH)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:L
Last Name:NORTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11310 BRITTON HWY
Mailing Address - Street 2:
Mailing Address - City:BRITTON
Mailing Address - State:MI
Mailing Address - Zip Code:49229-9574
Mailing Address - Country:US
Mailing Address - Phone:517-451-2020
Mailing Address - Fax:
Practice Address - Street 1:410 W RUSSELL ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1167
Practice Address - Country:US
Practice Address - Phone:734-429-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028186183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist