Provider Demographics
NPI:1275802308
Name:HOWARD, TIMOTHY E (PHARMD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12230
Mailing Address - Street 2:915 E MARKET
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72149-0001
Mailing Address - Country:US
Mailing Address - Phone:501-279-4869
Mailing Address - Fax:501-279-5202
Practice Address - Street 1:915 E MARKET AVE
Practice Address - Street 2:BOX 12230
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72149-2230
Practice Address - Country:US
Practice Address - Phone:501-279-4869
Practice Address - Fax:501-279-5202
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD06896183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist