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Organization
ICRX INC
Active
Organization
ICRX INC
Active
Other names
Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MACINTOSH RPH (VICE PRESIDENT/PIC/AO)
(256) 534-4533
Entity
Organization
Contact information
Practice address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 534-4533
(256) 534-1208
Mailing address
301 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5123
(256) 534-4533
(256) 534-1208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114453
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169709
—
AL
01
—
2150394
PK
—
Enumeration date
12/08/2014
Last updated
07/19/2018
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