Organization
HORIZON PHARMACY OF LOWELL LLC
Active
Other names
Horizon Pharmacy Of Lowell
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK NELSON (OWNER)
(269) 352-2198
Entity
Organization
Contact information
Practice address
2080 E COMMERCIAL AVE, LOWELL, IN 46356-2116
(219) 696-0212
(219) 696-1392
Mailing address
2080 E COMMERCIAL AVE, LOWELL, IN 46356-2116
(219) 696-0212
(219) 696-1392
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006635A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298940
—
IN
01
—
2172557
PK
—
Enumeration date
07/21/2006
Last updated
07/19/2018
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