=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588896435
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TRICIA LYNN HOWE PHARM.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2009
-----------------------------------------------------
Last Update Date | 08/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1508 GALLATIN PIKE S KMART PHARMACY 4093
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37115-5353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-865-6095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1508 GALLATIN PIKE S KMART PHARMACY 4093
-----------------------------------------------------
City | MADISON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37115-5353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-865-6095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 33740
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 10861
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------