MEDICARE: HORIZON HEALTH CARE SYSTEMS, INC.

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
1	333600000X	Pharmacy	PH15271	FL
2	3336C0003X	Community/Retail Pharmacy	PH15271	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1080150	OTHER	FL	NABP

General Provider Information

NPI Number	:	1295734648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON HEALTH CARE SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	1357 BRICKYARD RD
Second Line	:
City	:	CHIPLEY
State	:	FL
Zip	:	32428-2467
Country	:	US
Telephone Number	:	850-547-1877
Fax Number	:	850-547-5418

Provider Business Practice Location Address
First Line	:	507 W HIGHWAY 90
Second Line	:
City	:	BONIFAY
State	:	FL
Zip	:	32425-2521
Country	:	US
Telephone Number	:	850-547-1877
Fax Number	:	850-547-5418

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WILLIAM DAVID YATES
Credential	:
Telephone Number	:	850-547-1877

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/07/2023

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