Healthcare Provider Details

I. General information

NPI: 1669604732
Provider Name (Legal Business Name): HOWARD FAMILY PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 08/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 KY RT 550
EASTERN KY
41622
US

IV. Provider business mailing address

1453 PRATER FRK
HUEYSVILLE KY
41640-8880
US

V. Phone/Fax

Practice location:
  • Phone: 606-358-4800
  • Fax: 606-358-9706
Mailing address:
  • Phone: 606-358-4800
  • Fax: 606-358-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP07343
License Number StateKY

VIII. Authorized Official

Name: WESLEY HOWARD
Title or Position: PRESIDENT
Credential:
Phone: 606-358-0267