Healthcare Provider Details

I. General information

NPI: 1073219887
Provider Name (Legal Business Name): HOWELL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4866 US HIGHWAY 9
HOWELL NJ
07731-3785
US

IV. Provider business mailing address

4866 US HIGHWAY 9
HOWELL NJ
07731-3785
US

V. Phone/Fax

Practice location:
  • Phone: 732-426-6898
  • Fax: 732-426-6892
Mailing address:
  • Phone: 732-426-6898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL KOGAN
Title or Position: PRESIDENT
Credential:
Phone: 718-530-2164