Provider Demographics
NPI:1902027394
Name:JOHNS, HORACE (RPH)
Entity Type:Individual
Prefix:MR
First Name:HORACE
Middle Name:
Last Name:JOHNS
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 1:14468 COULEE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-5319
Mailing Address - Country:US
Mailing Address - Phone:586-247-8385
Mailing Address - Fax:
Practice Address - Street 1:14468 COULEE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-5319
Practice Address - Country:US
Practice Address - Phone:586-247-8385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302021195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist