Provider Demographics
NPI:1093116493
Name:HOWES DRUG
Entity Type:Organization
Organization Name:HOWES DRUG
Other - Org Name:HOWES DRUG & MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTALENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-878-2441
Mailing Address - Street 1:78 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3353
Mailing Address - Country:US
Mailing Address - Phone:203-878-2441
Mailing Address - Fax:203-876-8439
Practice Address - Street 1:78 BROAD ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3353
Practice Address - Country:US
Practice Address - Phone:203-878-2441
Practice Address - Fax:203-876-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CTPCY.00004443336C0003X
CT4443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2148160OtherPK