Individual
KEITH L HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6922
Mailing address
4460 W HEART PL, BISMARCK, ND 58504-4242
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4533
ND
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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