NPI: 1518203751
Provider Name: ICARE CLINICAL CONSULTING LLC
Doing Business As: ICARE CONSULTANT PHARMACIST, LLC
Classification: Pharmacy - 3336M0003X
Entity Type: Organization
Specialization: Managed Care Organization Pharmacy
Address:
104 DARWIN CIR
LAFAYETTE, LA
ZIP 70508
Phone: (337) 296-1384
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ICARE CLINICAL CONSULTING LLC is a managed care organization pharmacy pharmacy in Lafayette, LA. 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. ICARE CLINICAL CONSULTING LLC NPI is 1518203751. The provider is registered as an organization entity type.
The provider Is Doing Business As Icare Consultant Pharmacist, Llc.
The provider's business location address is:
104 DARWIN CIR
LAFAYETTE, LA
ZIP 70508-110
Phone: (337) 296-1384
Fax: (337) 889-3172
The provider's authorized official is Terry James Veillon .
The authorized official title is Owner/pic and has the following contact phone number (337) 296-1384.
The enumeration date for this NPI number is 12/17/2012 and was last updated on 12/17/2012.