Provider Demographics
NPI:1669604732
Name:HOWARD FAMILY PHARMACY, INC.
Entity type:Organization
Organization Name:HOWARD FAMILY PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-358-0267
Mailing Address - Street 1:1453 PRATER FRK
Mailing Address - Street 2:
Mailing Address - City:HUEYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41640-8880
Mailing Address - Country:US
Mailing Address - Phone:606-358-4800
Mailing Address - Fax:606-358-9706
Practice Address - Street 1:327 KY RT 550
Practice Address - Street 2:
Practice Address - City:EASTERN
Practice Address - State:KY
Practice Address - Zip Code:41622
Practice Address - Country:US
Practice Address - Phone:606-358-4800
Practice Address - Fax:606-358-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP07343332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100070500Medicaid
KY1831266OtherNCPDP