Provider Demographics
NPI:1447401229
Name:HOWARD, WESLEY WAYNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:WAYNE
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 KY ROUTE 550
Mailing Address - Street 2:
Mailing Address - City:EASTERN
Mailing Address - State:KY
Mailing Address - Zip Code:41622-6925
Mailing Address - Country:US
Mailing Address - Phone:606-358-4800
Mailing Address - Fax:606-358-9706
Practice Address - Street 1:327 KY ROUTE 550
Practice Address - Street 2:
Practice Address - City:EASTERN
Practice Address - State:KY
Practice Address - Zip Code:41622-6925
Practice Address - Country:US
Practice Address - Phone:606-358-4800
Practice Address - Fax:606-358-9706
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist