Provider Demographics
NPI:1114222734
Name:HORNE, THOMAS D (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:D
Last Name:HORNE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WEST GARNET WAY
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59756-0300
Mailing Address - Country:US
Mailing Address - Phone:406-693-7179
Mailing Address - Fax:406-693-7181
Practice Address - Street 1:202 WEST GARNET WAY
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:MT
Practice Address - Zip Code:59756-0300
Practice Address - Country:US
Practice Address - Phone:406-693-7179
Practice Address - Fax:406-693-7181
Is Sole Proprietor?:No
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT6286183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist