Provider Demographics
NPI:1326576422
Name:HOWARD, MARCUS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
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 1:6218 ESTELLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERBANK
Mailing Address - State:CA
Mailing Address - Zip Code:95367-2173
Mailing Address - Country:US
Mailing Address - Phone:209-480-6218
Mailing Address - Fax:209-869-6917
Practice Address - Street 1:700 17TH ST STE 101
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-1248
Practice Address - Country:US
Practice Address - Phone:209-857-4777
Practice Address - Fax:209-422-6196
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY41046183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist