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NPI Code Detail

MEDICARE: MR. JAMES MICHAEL HORVATH PHARM.D.

MEDICARE: MR. JAMES MICHAEL HORVATH PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051037149IL

General Provider Information

NPI Number : 1003911199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MICHAEL HORVATH PHARM.D.
Provider Business Mailing Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number : 815-387-5316
Provider Business Practice Location Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number : 815-387-5316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 10/02/2012

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