Healthcare Provider Details

I. General information

NPI: 1932295581
Provider Name (Legal Business Name): RICK LEE HOWE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 OLS ABE ROAD
LAC DU FLAMBEAU WI
54538
US

IV. Provider business mailing address

6779 BERREND RD POB 54
HAZELHURST WI
54531-0054
US

V. Phone/Fax

Practice location:
  • Phone: 715-588-4267
  • Fax: 715-588-7884
Mailing address:
  • Phone: 715-356-5301
  • Fax: 715-588-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9207-040
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: