Provider Demographics
NPI:1134753544
Name:HOWELL, GARY RIDDICK II (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:RIDDICK
Last Name:HOWELL
Suffix:II
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 1:2870 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730
Mailing Address - Country:US
Mailing Address - Phone:803-203-6215
Mailing Address - Fax:803-832-1801
Practice Address - Street 1:2870 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:803-203-6215
Practice Address - Fax:803-832-1801
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC38057183500000X
NC29204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist