MEDICARE: NEW HORIZON PHARMACY, 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	183500000X	Pharmacist	PS35933	FL

General Provider Information

NPI Number	:	1598087181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON PHARMACY, INC

Provider Business Mailing Address
First Line	:	8535 BAYMEADOWS RD
Second Line	:	STE. 6A
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7448
Country	:	US
Telephone Number	:	904-737-9466
Fax Number	:

Provider Business Practice Location Address
First Line	:	8535 BAYMEADOWS RD
Second Line	:	STE. 6A
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7494
Country	:	US
Telephone Number	:	904-737-9466
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHARLES LEON PRESLEY
Credential	:	PHARMD
Telephone Number	:	904-737-9466

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	02/23/2010

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