Provider Demographics
NPI:1013938562
Name:HOWARD, BERNIE MARIA (BPHARM,RPH02241956)
Entity type:Individual
Prefix:MS
First Name:BERNIE
Middle Name:MARIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:BPHARM,RPH02241956
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1481 W 10TH ST
Mailing Address - Street 2:PHAR 119
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2803
Mailing Address - Country:US
Mailing Address - Phone:317-988-2982
Mailing Address - Fax:317-988-3334
Practice Address - Street 1:1481 W 10TH ST
Practice Address - Street 2:PHAR 119
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2803
Practice Address - Country:US
Practice Address - Phone:317-988-2982
Practice Address - Fax:317-988-3334
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN26014409183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist