OrganizationActive
Icp Holdings, LLC
NPI 1053331850 · Compounding Pharmacy · Tampa, FL
Provider details
- NPI number
- 1053331850
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Charles Gaetano, Owner(404) 815-1610
Specialties & taxonomies
Suppliers
Practice location
13141 N Dale Mabry Hwy Ste E
Tampa, FL 33618-2443
Phone: (813) 961-8798
Fax: (813) 961-9800
Approximate (ZIP-level) locationGet directions
Mailing address
13141 N Dale Mabry Hwy Ste E
Tampa, FL 33618-2443
Other names (DBA / former)
- Doing business as
- Carrollwood Compounding Center
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.