Organization
HORIZON HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS COUNTS (PRESIDENT)
(276) 228-5940
Entity
Organization
Contact information
Practice address
185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
(276) 228-5940
(276) 228-9292
Mailing address
185 STAFFORD UMBERGER RD, WYTHEVILLE, VA 24382-4439
(276) 228-5940
(276) 228-9292
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
0000003903
TN
3336L0003X
Long Term Care Pharmacy
Primary
0201003165
VA
3336L0003X
Long Term Care Pharmacy
08170
NC
3336L0003X
Long Term Care Pharmacy
M00559211
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4827967
NCPDP
VA
05
—
4827967
—
TN
05
—
4827967
—
VA
Enumeration date
03/26/2007
Last updated
01/12/2011
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