Provider Demographics
NPI:1831411065
Name:HORNE, PATRICK EUGENE
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:EUGENE
Last Name:HORNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20076 MCKENDREE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:THREE SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:17264-8552
Mailing Address - Country:US
Mailing Address - Phone:814-305-2041
Mailing Address - Fax:
Practice Address - Street 1:133 EAST SHIRLEY STREET
Practice Address - Street 2:
Practice Address - City:MOUNT UNION
Practice Address - State:PA
Practice Address - Zip Code:17066
Practice Address - Country:US
Practice Address - Phone:814-542-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441178183500000X
WVRP0006931183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist