Provider Demographics
NPI:1588896435
Name:HOWE, TRICIA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:LYNN
Last Name:HOWE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TRICIA
Other - Middle Name:LYNN
Other - Last Name:FUNK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1508 GALLATIN PIKE S
Mailing Address - Street 2:KMART PHARMACY 4093
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-5353
Mailing Address - Country:US
Mailing Address - Phone:615-865-6095
Mailing Address - Fax:
Practice Address - Street 1:1508 GALLATIN PIKE S
Practice Address - Street 2:KMART PHARMACY 4093
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5353
Practice Address - Country:US
Practice Address - Phone:615-865-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33740183500000X
SC10861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist