Provider Demographics
NPI:1104143767
Name:HOWLAND, CHRISTINE MARILYNN (RPH)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MARILYNN
Last Name:HOWLAND
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 1:21630 RIO ORO DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6726
Mailing Address - Country:US
Mailing Address - Phone:704-892-9717
Mailing Address - Fax:
Practice Address - Street 1:542 RIVER HWY
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6829
Practice Address - Country:US
Practice Address - Phone:704-658-9180
Practice Address - Fax:704-658-9184
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14721183500000X
WI10440183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist