Healthcare Provider Details

I. General information

NPI: 1376858084
Provider Name (Legal Business Name): JENNIFER LYNN HOWARD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 WEST FOURTH STREET CENTER FOR AMERICAN INDIAN RESOURCES
DULUTH MN
55805
US

IV. Provider business mailing address

211 WEST FOURTH STREET CENTER FOR AMERICAN INDIAN RESOURCES
DULUTH MN
55805
US

V. Phone/Fax

Practice location:
  • Phone: 218-726-1370
  • Fax: 218-878-3755
Mailing address:
  • Phone: 218-726-1370
  • Fax: 218-878-3755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number117503
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: