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INTEGRATED COMMUNITY ONCOLOGY NETWORKLLC NPI 1487645305


NPI Information

NPI: 1487645305
Provider Name: INTEGRATED COMMUNITY ONCOLOGY NETWORK,LLC

Doing Business As: ICON PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
9143 PHILIPS HWY
STE 570
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 519-2720
Get Directions

INTEGRATED COMMUNITY ONCOLOGY NETWORK,LLC is a pharmacy in Jacksonville, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. INTEGRATED COMMUNITY ONCOLOGY NETWORK,LLC NPI is 1487645305. The provider is registered as an organization entity type.
The provider Is Doing Business As Icon Pharmacy.

The provider's business location address is:

9143 PHILIPS HWY
STE 570
JACKSONVILLE, FL
ZIP 32256-348
Phone: (904) 519-2720
Fax: (904) 519-2721

The provider's authorized official is Robert Phelan .
The authorized official title is Executive Director and has the following contact phone number (904) 363-7442.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 11/11/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyFLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1031184700MEDICAIDFLORIDA
25599740001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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