Healthcare Provider Details

I. General information

NPI: 1962921007
Provider Name (Legal Business Name): COURTNEY HOWARD PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2017
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 DOLSON AVE
MIDDLETOWN NY
10940-6502
US

IV. Provider business mailing address

96 DOLSON AVE
MIDDLETOWN NY
10940-6502
US

V. Phone/Fax

Practice location:
  • Phone: 845-343-1447
  • Fax:
Mailing address:
  • Phone: 845-343-1447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03879000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: