Provider Demographics
NPI:1770579419
Name:HOWARD, MARJORIE J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARJORIE
Middle Name:J
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1650 ISLES OF ST MARYS WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-4208
Mailing Address - Country:US
Mailing Address - Phone:941-276-3761
Mailing Address - Fax:
Practice Address - Street 1:205 LAKESHORE PT
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3843
Practice Address - Country:US
Practice Address - Phone:912-510-3420
Practice Address - Fax:912-510-3429
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist