Provider Demographics
NPI:1033442504
Name:HOWE, AMY R (RPH)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:R
Last Name:HOWE
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 1:515 MOUNT HOOD ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3589
Mailing Address - Country:US
Mailing Address - Phone:541-296-3190
Mailing Address - Fax:541-296-3908
Practice Address - Street 1:515 MOUNT HOOD ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-3589
Practice Address - Country:US
Practice Address - Phone:541-296-3190
Practice Address - Fax:541-296-3908
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0010226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist