Organization
ICP 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
175 CANAL ST, SHARPSVILLE, PA 16150
(888) 203-8965
(724) 981-5029
Mailing address
175 CANAL ST, SHARPSVILLE, PA 16150-2236
(724) 962-2056
(724) 962-2389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PP415164L
PA
333600000X
Pharmacy
—
PA
3336L0003X
Long Term Care Pharmacy
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007507000008
—
PA
01
—
3971567
NCPDP
—
Enumeration date
03/31/2006
Last updated
07/11/2024
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