Provider Demographics
NPI:1083958904
Name:HORNE, CLAUDIA A (RPH)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:A
Last Name:HORNE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12725 HIGHWAY 23 N
Mailing Address - Street 2:
Mailing Address - City:TREMONT
Mailing Address - State:MS
Mailing Address - Zip Code:38876-8735
Mailing Address - Country:US
Mailing Address - Phone:662-597-1800
Mailing Address - Fax:662-328-5007
Practice Address - Street 1:12725 HIGHWAY 23 N
Practice Address - Street 2:
Practice Address - City:TREMONT
Practice Address - State:MS
Practice Address - Zip Code:38876-8735
Practice Address - Country:US
Practice Address - Phone:662-597-1800
Practice Address - Fax:662-652-3368
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-06940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist