Provider Demographics
NPI:1457963159
Name:FOURNIER, NORMARY (PS43007)
Entity Type:Individual
Prefix:DR
First Name:NORMARY
Middle Name:
Last Name:FOURNIER
Suffix:
Gender:F
Credentials:PS43007
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7863 NW 112TH PL
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1304
Mailing Address - Country:US
Mailing Address - Phone:305-632-4300
Mailing Address - Fax:
Practice Address - Street 1:1000 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1009
Practice Address - Country:US
Practice Address - Phone:305-324-8777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist