Individual
KENNETH HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1620 ROSS CLARK CIR, DOTHAN, AL 36301-5439
(334) 673-1208
Mailing address
1620 ROSS CLARK CIR, DOTHAN, AL 36301-5439
(334) 673-1208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12423
AL
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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