Provider Demographics
NPI:1497932370
Name:HORNE, KELLI BARKER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KELLI
Middle Name:BARKER
Last Name:HORNE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W MAIN ST
Mailing Address - Street 2:PO BOX 31
Mailing Address - City:HAMLET
Mailing Address - State:NC
Mailing Address - Zip Code:28345-3629
Mailing Address - Country:US
Mailing Address - Phone:910-582-3585
Mailing Address - Fax:910-582-3586
Practice Address - Street 1:27 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-3629
Practice Address - Country:US
Practice Address - Phone:910-582-3585
Practice Address - Fax:910-582-3586
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC129661835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1497932370Medicaid
NC1497932370Medicaid