Provider Demographics
NPI:1669816765
Name:HOWARD, GEORGE H (PD , RPH)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:H
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PD , RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 LAKELAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-7315
Mailing Address - Country:US
Mailing Address - Phone:256-268-1951
Mailing Address - Fax:
Practice Address - Street 1:55 LAKELAND HILLS DR
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-7315
Practice Address - Country:US
Practice Address - Phone:256-268-1951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-20
Last Update Date:2013-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL72921835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist