Provider Demographics
NPI:1255793881
Name:HOWARD, LAURA WATERS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:WATERS
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 UPPER MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-7152
Mailing Address - Country:US
Mailing Address - Phone:248-302-4283
Mailing Address - Fax:
Practice Address - Street 1:100 LITTLE TEXAS RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9428
Practice Address - Country:US
Practice Address - Phone:864-834-4451
Practice Address - Fax:864-834-5690
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist