Provider Demographics
NPI:1669570800
Name:HUSKEY, LENORE HELEN (CPHT, RPT)
Entity type:Individual
Prefix:MRS
First Name:LENORE
Middle Name:HELEN
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:CPHT, RPT
Other - Prefix:MS
Other - First Name:LENORE
Other - Middle Name:HELEN
Other - Last Name:RIDENOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8226 PHILIPS HWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-1240
Mailing Address - Country:US
Mailing Address - Phone:904-731-4222
Mailing Address - Fax:904-731-0599
Practice Address - Street 1:8226 PHILIPS HWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-1240
Practice Address - Country:US
Practice Address - Phone:904-731-4222
Practice Address - Fax:904-731-0599
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1101-0134-5490-341183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician