MEDICARE: HORN INVESTMENTS

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
2	3336C0003X	Community/Retail Pharmacy	0201002653	VA

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	2133020	OTHER		PK

General Provider Information

NPI Number	:	1457433781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORN INVESTMENTS

Provider Business Mailing Address
First Line	:	8216 BELLE FONTAINE DR.
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564
Country	:	US
Telephone Number	:	228-281-0790
Fax Number	:	601-724-8656

Provider Business Practice Location Address
First Line	:	8216 BELLE FONTAINE DR.
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564
Country	:	US
Telephone Number	:	228-281-0790
Fax Number	:	601-724-8656

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DANA RICHARD HORN
Credential	:	PH.D.
Telephone Number	:	228-281-0790

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/21/2022

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