Provider Demographics
NPI:1255931895
Name:HOWERTON, LISA KALNING (RPH)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KALNING
Last Name:HOWERTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12070 TRAILBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-2951
Mailing Address - Country:US
Mailing Address - Phone:804-229-4321
Mailing Address - Fax:804-320-0845
Practice Address - Street 1:2410 SHEILA LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-2040
Practice Address - Country:US
Practice Address - Phone:804-320-0099
Practice Address - Fax:804-320-0845
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202007394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist