Healthcare Provider Details

I. General information

NPI: 1962934190
Provider Name (Legal Business Name): VALERIE WIEBE HOWARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE SHIELDS AVE, ROOM 1061 UNIVERSITY OF CA, DAVIS
DAVIS CA
95616-8747
US

IV. Provider business mailing address

ONE SHIELDS AVE RM 1061 UNIVERSITY OF CA, DAVIS
DAVIS CA
95616-8747
US

V. Phone/Fax

Practice location:
  • Phone: 530-752-0187
  • Fax:
Mailing address:
  • Phone: 530-752-0187
  • Fax: 530-754-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH43624
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: