MEDICARE: ZACHARY WILLIAM HOWE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26028129A	IN

General Provider Information

NPI Number	:	1629698352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY WILLIAM HOWE PHARMD

Provider Business Mailing Address
First Line	:	1510 STADIUM WAY APT 277
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2104
Country	:	US
Telephone Number	:	636-614-6884
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 N CAPITOL AVE RM B222
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1203
Country	:	US
Telephone Number	:	636-614-6884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	04/22/2020

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