Organization
ICOTADAI INC
Active
Organization
ICOTADAI INC
Active
Other names
ZION APOTHECARY
Organization subpart
No
Provider details
NPI number
Authorized official
NEAL CATALANO (PRESIDENT)
(801) 253-6778
Entity
Organization
Contact information
Practice address
2332 W 12600 S, STE C, RIVERTON, UT 84065-7161
(801) 253-6778
(801) 253-6779
Mailing address
2332 W 12600 S, STE C, RIVERTON, UT 84065-7161
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
64211071704
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610754
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/20/2007
Last updated
08/22/2020
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