Provider Demographics
NPI:1871570820
Name:HOWARD, CHARLES BERNARD (PHARMD)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:BERNARD
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 1:7253 RAYNHAM DR
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5810
Mailing Address - Country:US
Mailing Address - Phone:440-232-1767
Mailing Address - Fax:
Practice Address - Street 1:2816 E 116TH ST
Practice Address - Street 2:METRO HEALTH BUCKEYE PHARMACY
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2111
Practice Address - Country:US
Practice Address - Phone:216-957-4050
Practice Address - Fax:216-957-4051
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1564543183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist