Organization
I C P INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES SEIGHMAN (EXECUTIVE VICE PRESIDENT)
(216) 310-2460
Entity
Organization
Contact information
Practice address
1815 W COUNTY ROAD 54, TIFFIN, OH 44883-7723
(800) 228-8278
(419) 447-1878
Mailing address
1815 W COUNTY RD 54, TIFFIN, OH 44883-9667
(419) 447-6216
(419) 447-1878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
020434650
OH
333600000X
Pharmacy
—
OH
3336L0003X
Long Term Care Pharmacy
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0595977
—
OH
01
—
3644312
NCPDP
—
Enumeration date
03/31/2006
Last updated
07/11/2024
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