Provider Demographics
NPI:1194133009
Name:HOWARD, PATRICIA (RPH)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:HOWARD
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 1:5962 ZEBULON RD STE 365
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2099
Mailing Address - Country:US
Mailing Address - Phone:478-474-6596
Mailing Address - Fax:478-394-4060
Practice Address - Street 1:156 TOM HILL SENIOR BLVD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-8014
Practice Address - Country:US
Practice Address - Phone:478-474-6596
Practice Address - Fax:478-475-0850
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH015815183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist