Healthcare Provider Details

I. General information

NPI: 1295734648
Provider Name (Legal Business Name): HORIZON HEALTH CARE SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 W HIGHWAY 90
BONIFAY FL
32425-2521
US

IV. Provider business mailing address

1357 BRICKYARD RD
CHIPLEY FL
32428-2467
US

V. Phone/Fax

Practice location:
  • Phone: 850-547-1877
  • Fax: 850-547-5418
Mailing address:
  • Phone: 850-547-1877
  • Fax: 850-547-5418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH15271
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH15271
License Number StateFL

VIII. Authorized Official

Name: MR. WILLIAM DAVID YATES
Title or Position: PRESIDENT
Credential:
Phone: 850-547-1877