Provider Demographics
NPI:1306432075
Name:HOWARD, CAROL (RPH)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:HOWARD
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:888 SHADOW WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SMITHS STATION
Mailing Address - State:AL
Mailing Address - Zip Code:36877-4869
Mailing Address - Country:US
Mailing Address - Phone:706-442-9974
Mailing Address - Fax:
Practice Address - Street 1:CVS PHARMACY # 4934
Practice Address - Street 2:1430 HWY 280 & 431 N
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867
Practice Address - Country:US
Practice Address - Phone:334-297-6498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12060183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist