Healthcare Provider Details

I. General information

NPI: 1730456310
Provider Name (Legal Business Name): JULIANNE HORNSBY SELLERS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2011
Last Update Date: 10/16/2021
Certification Date: 10/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 FORT EDDY RD
CONCORD NH
03301-7405
US

IV. Provider business mailing address

10 WEYMOUTH DR
BEDFORD NH
03110-5026
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-2121
  • Fax:
Mailing address:
  • Phone: 334-201-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY-01169
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16893
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: