MEDICARE: JULIANN MARIE HORNE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00008009	NM

General Provider Information

NPI Number	:	1619384542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANN MARIE HORNE PHARMD

Provider Business Mailing Address
First Line	:	1131 UNIVERSITY BLVD NE STE G
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-1738
Country	:	US
Telephone Number	:	505-272-2341
Fax Number	:	505-272-8178

Provider Business Practice Location Address
First Line	:	1131 UNIVERSITY BLVD NE
Second Line	:	SUITE G
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102-1728
Country	:	US
Telephone Number	:	505-272-2341
Fax Number	:	505-272-8178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2014
Last Update Date	:	06/08/2023

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