Healthcare Provider Details

I. General information

NPI: 1033572805
Provider Name (Legal Business Name): HORIZON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 RTE 37 W UNIT F3
TOMS RIVER NJ
08755-4808
US

IV. Provider business mailing address

17250 N HARTFORD DR STE 115
SCOTTSDALE AZ
85255-5496
US

V. Phone/Fax

Practice location:
  • Phone: 866-635-0061
  • Fax: 800-892-0665
Mailing address:
  • Phone: 602-892-4250
  • Fax: 800-530-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00748300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DIGNA AFFRONTI
Title or Position: LICENSING
Credential:
Phone: 602-892-4250