Provider Demographics
NPI:1174637797
Name:HORST, JULIAN BOURNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:BOURNE
Last Name:HORST
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JULIAN
Other - Middle Name:HELENA
Other - Last Name:BOURNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1 CASTLE HALL CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-0807
Mailing Address - Country:US
Mailing Address - Phone:803-738-0629
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY RD
Practice Address - Street 2:DEPARTMENT OF PHARMACY
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1638
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6403183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist