Provider Demographics
NPI:1194097758
Name:HOWARD, ROBERT L (DPH)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 BUNKER HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-5203
Mailing Address - Country:US
Mailing Address - Phone:423-304-4242
Mailing Address - Fax:
Practice Address - Street 1:1506 BUNKER HILL DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-5203
Practice Address - Country:US
Practice Address - Phone:423-304-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5707183500000X
GA16371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist