Organization
AUSTIN P HORN
Active
Other names
The Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN PETER HORN PHARM D (PHARMACIST IN CHARGE/OWNER)
(760) 376-2216
Entity
Organization
Contact information
Practice address
111 PIUTE DRIVE, KERNVILLE, CA 93238-0097
(760) 376-2216
(760) 376-3855
Mailing address
PO BOX 97 US MAIL, 111 PIUTE DRIVE PHYSICAL, KERNVILLE, CA 93238-0097
(760) 376-2216
(760) 376-3855
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA463090
—
CA
Enumeration date
10/04/2006
Last updated
12/10/2020
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