Icon Pharmacy

LBN: Integrated Community Oncology Network,Llc
Icon Pharmacy is an health care organization with primary practice located at 9143 Philips Hwy Ste 570, Jacksonville FL 32256-1348. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Integrated Community Oncology Network,Llc can be contacted via phone (904) 519-2720, or through Phelan, Robert via phone (904) 363-7442.

Contact Information

Primary practice address
9143 Philips Hwy Ste 570 Jacksonville FL 32256-1348
Phone: (904) 519-2720
Fax: (904) 519-2721
Website:
Map and Directions
Authorized official contact:
Name: Phelan, Robert
Phone: (904) 363-7442

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X Florida

Profile Details

NPI number 1487645305
LBN Legal business name Integrated Community Oncology Network,Llc
DBA Doing business as Icon Pharmacy
Authorized official Phelan, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Nov 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487645305 NPPES
Florida MEDICAID 031184700

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