# ICP2 LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740780980
- **Authorized official:** SAMIR TAMMOUS (OWNER)
- **Authorized official phone:** (973) 809-2820

## Contact information

- **Practice address:** 661MAIN STREET, PATERSON, NJ 07503
- **Practice address phone:** (973) 307-9000
- **Practice address fax:** (973) 754-0044
- **Mailing address:** 661MAIN STREET, PATERSON, NJ 07503
- **Mailing address phone:** (973) 307-9000
- **Mailing address fax:** (973) 754-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00760400 | NJ | Yes |

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 04/30/2018