Provider Demographics
NPI:1205659117
Name:HORLICK, JOSHUA MITCHELL
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MITCHELL
Last Name:HORLICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BRAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-9215
Mailing Address - Country:US
Mailing Address - Phone:919-434-1882
Mailing Address - Fax:
Practice Address - Street 1:101 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1353
Practice Address - Country:US
Practice Address - Phone:252-459-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33490183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist