Provider Demographics
NPI:1841744604
Name:HORAN, KERRY JOSEPH (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:JOSEPH
Last Name:HORAN
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROPE FERRY RD # 6143
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1421
Mailing Address - Country:US
Mailing Address - Phone:603-646-9456
Mailing Address - Fax:
Practice Address - Street 1:5 ROPE FERRY RD # 6143
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1421
Practice Address - Country:US
Practice Address - Phone:603-646-9456
Practice Address - Fax:844-771-0140
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033.0120687183500000X
NH4235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist