Provider Demographics
NPI:1689161796
Name:HOWELL, JASON CALEB (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:CALEB
Last Name:HOWELL
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 1:4095 S STATE ROAD 7 # L-202
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8185
Mailing Address - Country:US
Mailing Address - Phone:315-657-4289
Mailing Address - Fax:
Practice Address - Street 1:4095 S STATE ROAD 7 # L-202
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8185
Practice Address - Country:US
Practice Address - Phone:315-657-4289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57567183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist