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NPI Code Detail

MEDICARE: NEW HORIZON PHARMACY #2

MEDICARE: NEW HORIZON PHARMACY #2
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
13336C0003XCommunity/Retail Pharmacy50006758SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24224399OTHERNCPDP

General Provider Information

NPI Number : 1831266592
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HORIZON PHARMACY #2
Provider Business Mailing Address
First Line : 975 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4241
Country : US
Telephone Number : 864-729-8330
Fax Number : 864-751-3218
Provider Business Practice Location Address
First Line : 975 W FARIS RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4241
Country : US
Telephone Number : 864-729-8330
Fax Number : 864-751-3218
Authorized Official
Title or Position : CEO & PRESIDENT
Name : J BRANDON GAFFNEY
Credential :
Telephone Number : 864-729-8330
Provider Enumeration Date : 11/29/2006
Last Update Date : 05/09/2025

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Directions to “NEW HORIZON PHARMACY #2 ” Practice Location

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