ICOTADAI INC

Managed Care Organization Pharmacy

NPI: 1366586430Organization

Specialties, Licenses & Credentials

Managed Care Organization PharmacyPrimary

Pharmacy — Managed Care Organization Pharmacy

Code: 3336M0003X

64211071704(UT)

Contact & Hours

Address: 2332 W 12600 S, STE C
RIVERTON, UT 84065
Phone: (801) 253-6778

Quick Facts

NPI: 1366586430
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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