Healthcare Provider Details

I. General information

NPI: 1922415066
Provider Name (Legal Business Name): MEREDITH L HOWARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 07/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N SENATE AVE # AG401
INDIANAPOLIS IN
46202-5306
US

IV. Provider business mailing address

1701 N SENATE AVE # AG401
INDIANAPOLIS IN
46202-5306
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-2318
  • Fax:
Mailing address:
  • Phone: 317-962-2318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number26025101A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: