Provider Demographics
NPI:1609103688
Name:HOWSE-VAUGHN, ROSHAWN R (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:ROSHAWN
Middle Name:R
Last Name:HOWSE-VAUGHN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 HOLLOW KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5583
Mailing Address - Country:US
Mailing Address - Phone:972-547-9972
Mailing Address - Fax:
Practice Address - Street 1:1651 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3445
Practice Address - Country:US
Practice Address - Phone:972-548-1662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41402183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist