NPI | 1518203751 |
---|---|
Doing Business As | ICARE CONSULTANT PHARMACIST, LLC |
Entity Type | Organization |
Authorized Contact | TERRY JAMES VEILLON Owner/PIC 337-296-1384 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |