Provider Demographics
NPI:1427817378
Name:HOWELL PHARMACY, LLC
Entity type:Organization
Organization Name:HOWELL PHARMACY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIANA
Authorized Official - Middle Name:BIGNER
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:225-719-0675
Mailing Address - Street 1:1209 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5429
Mailing Address - Country:US
Mailing Address - Phone:318-323-2242
Mailing Address - Fax:318-323-2298
Practice Address - Street 1:1209 N 18TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5429
Practice Address - Country:US
Practice Address - Phone:318-323-2242
Practice Address - Fax:318-323-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1659075240OtherOTHER NPI
LAPHY.008608-IROtherSTATE LICENSE
LA2210076Medicaid
1944607OtherNCPDP