Provider Demographics
NPI:1902984933
Name:TODD, HOWARD LUTHER (R PH)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:LUTHER
Last Name:TODD
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1148
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:TX
Mailing Address - Zip Code:76430-1148
Mailing Address - Country:US
Mailing Address - Phone:325-762-2528
Mailing Address - Fax:325-762-3915
Practice Address - Street 1:104 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:TX
Practice Address - Zip Code:76430-1148
Practice Address - Country:US
Practice Address - Phone:325-762-2528
Practice Address - Fax:325-762-3915
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist