Provider Demographics
NPI:1275843773
Name:HOWARD, HERMAN LYNELL (RPH)
Entity Type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:LYNELL
Last Name:HOWARD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 JACKSON STREET
Mailing Address - Street 2:#403
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5170
Mailing Address - Country:US
Mailing Address - Phone:305-685-8808
Mailing Address - Fax:305-685-8797
Practice Address - Street 1:823 NW 119TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-2336
Practice Address - Country:US
Practice Address - Phone:305-685-8808
Practice Address - Fax:305-685-8797
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS20965183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist