Icon Health Science
Pharmacy, Mail Order Pharmacy in Norwalk, CT. Organization (NPI-2).
NPI number1710428131
StatusActive
Last updated in NPPESMar 17, 2017
Details
- NPI
- 1710428131
- Entity type
- Organization (NPI-2)
- Legal business name
- Icon Health Science
- Organization subpart
- No
- Enumeration date
- Mar 17, 2017
- Last updated
- Mar 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0002X | Pharmacy, Mail Order Pharmacy | D0067749 | MD | Yes |
| 333600000X | Pharmacy | D0067749 | MD | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | D0067749 | MD |
Other names
- Body And Pain (Doing Business As)
Practice location
40 Richards Ave3rd Floor
Norwalk, CT 06854-2319
Phone 800-243-8370 · Fax 888-374-0626
Mailing address
40 Richards Ave3rd Floor
Norwalk, CT 06854-2319
Phone 800-243-8370 · Fax 888-374-0626
Authorized official
Ikechukwu (Ikay) Kanayo Enu
Medical Director
6179054430
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