Provider Demographics
NPI:1417387770
Name:HORACES PHARMACY LLC
Entity Type:Organization
Organization Name:HORACES PHARMACY LLC
Other - Org Name:HORACE'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNY
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:HORACE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:803-487-6824
Mailing Address - Street 1:2839 ARROWWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-8444
Mailing Address - Country:US
Mailing Address - Phone:803-487-6824
Mailing Address - Fax:
Practice Address - Street 1:1525 CELANESE RD STE 107
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1723
Practice Address - Country:US
Practice Address - Phone:803-487-6824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy