Individual
JUSTIN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 E MAIN ST, COTTAGE GROVE, OR 97424-2244
(541) 942-2224
(541) 942-8274
Mailing address
1704 E MAIN ST, COTTAGE GROVE, OR 97424-2244
(541) 942-2224
(541) 942-8274
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0014375
OR
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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