Provider Demographics
NPI:1548540131
Name:HOWE, THOMAS C (RPH)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:C
Last Name:HOWE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 JULINGTON PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-6218
Mailing Address - Country:US
Mailing Address - Phone:904-287-5656
Mailing Address - Fax:904-287-8838
Practice Address - Street 1:105 JULINGTON PLAZA DR
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-6218
Practice Address - Country:US
Practice Address - Phone:904-287-5656
Practice Address - Fax:904-287-8838
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS28179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist