Provider Demographics
NPI:1750473732
Name:HOWARD, GERALDINE Z (R PH)
Entity Type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:Z
Last Name:HOWARD
Suffix:
Gender:F
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20101 JANAK RD
Mailing Address - Street 2:
Mailing Address - City:COUPLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78615-4832
Mailing Address - Country:US
Mailing Address - Phone:512-281-5024
Mailing Address - Fax:
Practice Address - Street 1:100F W DEAN KEETON ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1006
Practice Address - Country:US
Practice Address - Phone:512-471-4182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist