Provider Demographics
NPI:1235608787
Name:HORN, CAROLYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:
Last Name:HORN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4383 SPRINGHURST LN
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-4476
Mailing Address - Country:US
Mailing Address - Phone:859-912-1860
Mailing Address - Fax:
Practice Address - Street 1:4383 SPRINGHURST LN
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-4476
Practice Address - Country:US
Practice Address - Phone:859-912-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26023790A183500000X
KY05315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist