Provider Demographics
NPI:1003208539
Name:HORN, ADRIENNE MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:MICHELLE
Last Name:HORN
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 1:1680 MICHIGAN AVE
Mailing Address - Street 2:800
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2538
Mailing Address - Country:US
Mailing Address - Phone:786-574-5155
Mailing Address - Fax:305-695-1002
Practice Address - Street 1:1680 MICHIGAN AVE
Practice Address - Street 2:800
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2538
Practice Address - Country:US
Practice Address - Phone:786-574-5155
Practice Address - Fax:305-695-1002
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 52589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist