Provider Demographics
NPI:1740886373
Name:HORNER, ERIKA LYNNE
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:LYNNE
Last Name:HORNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MILLBROOK PLZ
Mailing Address - Street 2:
Mailing Address - City:MILL HALL
Mailing Address - State:PA
Mailing Address - Zip Code:17751-1911
Mailing Address - Country:US
Mailing Address - Phone:570-748-1130
Mailing Address - Fax:
Practice Address - Street 1:917 W 4TH ST
Practice Address - Street 2:
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-2717
Practice Address - Country:US
Practice Address - Phone:570-660-7954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician