ICOTADAI INC NPI 1366586430

NPI Information

ICOTADAI INC is a managed care organization pharmacy pharmacy in Riverton, UT. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. ICOTADAI INC NPI is 1366586430. The provider is registered as an organization entity type.
The provider Is Doing Business As Zion Apothecary.

The provider's business location address is:

2332 W 12600 S
STE C
RIVERTON, UT
ZIP 84065-161
Phone: (801) 253-6778
Fax: (801) 253-6779

The provider's authorized official is Neal Catalano .
The authorized official title is President and has the following contact phone number (801) 253-6778.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.