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Individual

STEPHEN RANDALL NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
136 ENTERPRISE DR, MADISON, MS 39110-8701
(205) 499-2460
(601) 499-2461
Mailing address
309 NORTHBAY DR, MADISON, MS 39110-9174
(205) 382-2657
(601) 499-2461

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
10185
AL
183500000X
Pharmacist
Primary
T08898
MS

Other

Enumeration date
03/14/2012
Last updated
06/29/2015
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