Basic Information
| Provider Information | |||||||||
| NPI: | 1700394541 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWARD | ||||||||
| FirstName: | OLIVIA | ||||||||
| MiddleName: | P. | ||||||||
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| Credential: | RPH, PHARMD, BCPS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3510 HILLSBORO PIKE APT 84 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372151431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2707352541 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1310 24TH AVE S | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372122637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153274751 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2018 | ||||||||
| LastUpdateDate: | 12/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 020703 | KY | Y | Pharmacy Service Providers | Pharmacist | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.