Provider Demographics
NPI:1174892202
Name:HOWARD, JOHN NATHAN (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NATHAN
Last Name:HOWARD
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 1:383 WEST VALLEY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81507
Mailing Address - Country:US
Mailing Address - Phone:970-241-5648
Mailing Address - Fax:
Practice Address - Street 1:240 W PARK DR
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1450
Practice Address - Country:US
Practice Address - Phone:970-208-1252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14077183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist