| NPI | 1578667689 |
|---|---|
| Doing Business As | ICON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALICIA LABREQUE Assoc Exec 407-872-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL PH21554) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-11-07 |