Ickyma Llc

NPI 1265570824 - Pharmacy - 3336C0003X

NPI Details
NPI 1265570824
Enumeration Date 02/02/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ERIC DANIEL ERIC
Position MEMBER
Phone (859) 254-8852
Fax (859) 254-8853
Practice Location
1465 VILLAGE DR
LEXINGTON KY, 40504-1614, US
Phone (859) 254-8852
Fax (859) 254-8853
Business Location
949 TANBARK RD
LEXINGTON KY, 40515-1872, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Kentucky
License Number P06879
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According to our database, Ickyma Llc NPI is 1265570824, taxonomy code is 3336C0003X and license number is P06879, license state is located at Kentucky. Ickyma Llc physically located at 1465 Village Dr, Lexington KY, 40504-1614. NPI Number 1033115704 has the healthcare provider type.

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1265570824 NPI number is provided on an as is basis without warranty of any kind. 1265570824 is maintained by the National Plan & Provider Enumeration System. The contents of Ickyma Llc are for informational purposes only.