Individual
JAMES ICKES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29000 LORAIN RD, NORTH OLMSTED, OH 44070-4016
(440) 777-4524
Mailing address
29000 LORAIN RD, NORTH OLMSTED, OH 44070-4016
(440) 777-4524
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11990
OH
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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