# HORIZON HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770601296
- **Authorized official:** DENNIS COUNTS (PRESIDENT)
- **Authorized official phone:** (276) 228-5940

## Contact information

- **Practice address:** 185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
- **Practice address phone:** (276) 228-5940
- **Practice address fax:** (276) 228-9292
- **Mailing address:** 185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
- **Mailing address phone:** (276) 228-5940
- **Mailing address fax:** (276) 228-9292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0000003903 | TN | — |
| 3336L0003X | Long Term Care Pharmacy | 0201003165 | VA | Yes |
| 3336L0003X | Long Term Care Pharmacy | 08170 | NC | — |
| 3336L0003X | Long Term Care Pharmacy | M00559211 | WV | — |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 01/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4827967 | NCPDP | VA |
| 05 | — | 4827967 | — | TN |
| 05 | — | 4827967 | — | VA |