Healthcare Provider Details

I. General information

NPI: 1255297412
Provider Name (Legal Business Name): LINDSEY NICOLE HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E SAINT LOUIS ST
SPRINGFIELD MO
65806-2527
US

IV. Provider business mailing address

198 CRESTWOOD DR
MARSHFIELD MO
65706-1100
US

V. Phone/Fax

Practice location:
  • Phone: 417-862-5302
  • Fax:
Mailing address:
  • Phone: 417-862-5302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2025054351
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: