Icp Holdings, LLC
NPI #1184175523 in Sandy Springs, Georgia
Provider Information
- NPI Number
- 1184175523
- Entity Type
- Organization
- Organization Name
- Icp Holdings, LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 8601 DUNWOODY PL STE 750
- City
- Sandy Springs
- State
- Georgia
- ZIP Code
- 30350-2519
- Phone
- (404) 815-1610
Authorized Official
- Name
- CASEY GAETANO
- Title
- MANAGING PARTNER
- Phone
- (404) 814-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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