Provider Demographics
NPI:1033572805
Name:HORIZON INC
Entity Type:Organization
Organization Name:HORIZON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSING
Authorized Official - Prefix:
Authorized Official - First Name:DIGNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AFFRONTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-892-4250
Mailing Address - Street 1:17250 N HARTFORD DR STE 115
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5496
Mailing Address - Country:US
Mailing Address - Phone:602-892-4250
Mailing Address - Fax:800-530-0665
Practice Address - Street 1:1591 RTE 37 W
Practice Address - Street 2:UNIT F3
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4808
Practice Address - Country:US
Practice Address - Phone:866-635-0061
Practice Address - Fax:800-892-0665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00748300333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2159487OtherPK