Provider Demographics
NPI:1619384542
Name:HORNE, JULIANN MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANN
Middle Name:MARIE
Last Name:HORNE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JULIANN
Other - Middle Name:MARIE
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1131 UNIVERSITY BLVD NE STE G
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1738
Mailing Address - Country:US
Mailing Address - Phone:505-272-2341
Mailing Address - Fax:505-272-8178
Practice Address - Street 1:1131 UNIVERSITY BLVD NE
Practice Address - Street 2:SUITE G
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1728
Practice Address - Country:US
Practice Address - Phone:505-272-2341
Practice Address - Fax:505-272-8178
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00008009183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist