Provider Demographics
NPI:1073851242
Name:HOWARD, RAMONDA REGINA (PHARMD)
Entity type:Individual
Prefix:
First Name:RAMONDA
Middle Name:REGINA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 HIGHWAY 212 SW
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30094-3349
Mailing Address - Country:US
Mailing Address - Phone:678-637-6292
Mailing Address - Fax:
Practice Address - Street 1:2880 HIGHWAY 212 SW
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-3349
Practice Address - Country:US
Practice Address - Phone:678-637-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH201602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist