Provider Demographics
NPI:1427207786
Name:HORN, JOSHUA GUENTHER (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:GUENTHER
Last Name:HORN
Suffix:
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 1:111 E GREEN ST
Mailing Address - Street 2:DAN HORN PHARMACY
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-3641
Mailing Address - Country:US
Mailing Address - Phone:716-376-6337
Mailing Address - Fax:716-372-2634
Practice Address - Street 1:111 E GREEN ST
Practice Address - Street 2:DAN HORN PHARMACY
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-3641
Practice Address - Country:US
Practice Address - Phone:716-376-6337
Practice Address - Fax:716-372-2634
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist