Provider Demographics
NPI:1366562266
Name:PRITCHETT, HOWARD C JR (RPH)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:C
Last Name:PRITCHETT
Suffix:JR
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 1:925 E OAK ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-9249
Mailing Address - Country:US
Mailing Address - Phone:863-452-2912
Mailing Address - Fax:863-452-0288
Practice Address - Street 1:6360 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1225
Practice Address - Country:US
Practice Address - Phone:863-385-5588
Practice Address - Fax:863-385-1378
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS14603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist