Organization
HORIZON PHARMACY OF LOWELL LLC
Active
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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