Healthcare Provider Details

I. General information

NPI: 1295940773
Provider Name (Legal Business Name): MR. TONY MING YEE HOWE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 S BROADWAY
SANTA MARIA CA
93454-7818
US

IV. Provider business mailing address

1469 MERCER CT
SANTA MARIA CA
93455-6672
US

V. Phone/Fax

Practice location:
  • Phone: 805-925-6404
  • Fax: 805-928-9542
Mailing address:
  • Phone: 805-925-6404
  • Fax: 805-928-9542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: