Provider Demographics
NPI:1982839551
Name:NEW HORIZON FAMILY HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NEW HORIZON FAMILY HEALTH SERVICES INC
Other - Org Name:NEW HORIZON PHARMACY #4
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-233-1534
Mailing Address - Street 1:PO BOX 1370
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-1203
Mailing Address - Country:US
Mailing Address - Phone:864-836-1109
Mailing Address - Fax:864-835-0887
Practice Address - Street 1:1588 GEER HWY
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9204
Practice Address - Country:US
Practice Address - Phone:864-729-8330
Practice Address - Fax:864-751-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
SC104243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2120350OtherPK