Provider Demographics
NPI:1780972901
Name:HOWARD, JAREN CAIN (PHARMD)
Entity type:Individual
Prefix:
First Name:JAREN
Middle Name:CAIN
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S BROOK ST
Mailing Address - Street 2:APT 205
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-2746
Mailing Address - Country:US
Mailing Address - Phone:270-404-1859
Mailing Address - Fax:
Practice Address - Street 1:7505 HIGHWAY 311
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1815
Practice Address - Country:US
Practice Address - Phone:812-246-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024145A183500000X
KY015503183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist