Organization
P R HORTON RPH, INC
Active
Organization
P R HORTON RPH, INC
Active
Other names
Continue Care Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL R HORTON RP (PRESIDENT)
(712) 224-2845
Entity
Organization
Contact information
Practice address
2609 APACHE CT, SIOUX CITY, IA 51104-1504
(712) 224-2845
(712) 224-2846
Mailing address
2609 APACHE CT, SIOUX CITY, IA 51104-1504
(712) 224-2845
(712) 224-2846
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
59
IA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
59
IA
333600000X
Pharmacy
59
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208330
—
IA
01
—
1620613
NCPDP NO.
—
05
—
8534140
—
SD
05
—
9167250
—
SD
Enumeration date
09/26/2005
Last updated
10/21/2010
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