Provider Demographics
NPI:1083685044
Name:HOWELL, GAYLE C (RPH)
Entity Type:Individual
Prefix:MS
First Name:GAYLE
Middle Name:C
Last Name:HOWELL
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 1:893 SUMNER CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-4420
Mailing Address - Country:US
Mailing Address - Phone:410-848-5980
Mailing Address - Fax:410-751-5968
Practice Address - Street 1:99 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4800
Practice Address - Country:US
Practice Address - Phone:410-848-5980
Practice Address - Fax:410-751-5968
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD12444183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0421610001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER