<Unavail>

LBN: Icp Holdings, Llc
<Unavail> is an health care organization with primary practice located at 8601 Dunwoody Pl Ste 750 , Sandy Springs GA 30350-2519. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Icp Holdings, Llc can be contacted via phone (404) 815-1610, or through Gaetano, Casey via phone (404) 814-1610.

Contact Information

Primary practice address
8601 Dunwoody Pl Ste 750 Sandy Springs GA 30350-2519
Phone: (404) 815-1610
Fax: (404) 815-1609
Website:
Map and Directions
Authorized official contact:
Name: Gaetano, Casey
Phone: (404) 814-1610

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1184175523
LBN Legal business name Icp Holdings, Llc
DBA Doing business as <Unavail>
Authorized official Gaetano, Casey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2016
Last updated Jan 9th, 2019 - about 7 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 1184175523 NPPES
Other 2165814 PK

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