Provider Demographics
NPI:1982157350
Name:NORMAN, BRYCE JAMES (PHARMD, RPH)
Entity Type:Individual
Prefix:MR
First Name:BRYCE
Middle Name:JAMES
Last Name:NORMAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-2340
Mailing Address - Country:US
Mailing Address - Phone:330-633-1150
Mailing Address - Fax:330-633-7870
Practice Address - Street 1:45 EAST AVE
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2340
Practice Address - Country:US
Practice Address - Phone:330-633-1150
Practice Address - Fax:330-633-7870
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135532183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist