Organization
ICY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES IGBODO (PRESIDENT)
(718) 455-5080
Entity
Organization
Contact information
Practice address
1340 BUSHWICK AVE, BROOKLYN, NY 11207-3962
(718) 455-5080
(718) 455-0050
Mailing address
1340 BUSHWICK AVE, BROOKLYN, NY 11207-3962
(718) 455-5080
(718) 455-0050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033720
NY
Other
Enumeration date
06/26/2015
Last updated
05/07/2026
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