Provider Demographics
NPI:1063411411
Name:HORIZON HEALTH CARE SYSTEMS, INC.
Entity type:Organization
Organization Name:HORIZON HEALTH CARE SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-638-0424
Mailing Address - Street 1:1357 BRICKYARD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-2467
Mailing Address - Country:US
Mailing Address - Phone:850-638-0424
Mailing Address - Fax:850-638-9371
Practice Address - Street 1:1357 BRICKYARD RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-2467
Practice Address - Country:US
Practice Address - Phone:850-638-0424
Practice Address - Fax:850-638-9371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH9636333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1063988OtherNABP
FL1063988OtherNABP
FL0354590001Medicare NSC