| NPI | 1487645305 |
|---|---|
| Doing Business As | ICON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT PHELAN Executive Director 904-363-7442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2011-11-11 |