Icotadai Inc
Managed Care Organization Pharmacy
2332 W 12600 S, Ste C, Riverton
Utah, 84065-7161
801-253-6778 801-253-6779
Icotadai Inc is a Managed Care Organization Pharmacy in Riverton, Utah. It is located at 2332 W 12600 S, Ste C, Riverton and it's customer support contact number is 801-253-6778. The authorized person of Icotadai Inc is Neal Catalano who is President of the pharmacy and his contact number is 801-253-6778. Active license number of Icotadai Inc is 64211071704 for Managed Care Organization Pharmacy in Utah.
Icotadai Inc is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
Pharmacy Details:
Icotadai Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Icotadai Inc |
| Type: | Managed Care Organization Pharmacy |
| Location: | 2332 W 12600 S, Ste C, Riverton,
Utah, 84065-7161 |
| Phone: | 801-253-6778 |
| Fax: | 801-253-6779 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Neal Catalano |
| Position: | President |
| Contact Number: | 801-253-6778 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1366586430 |
| NPI Enumeration Date: | 20 Feb, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Icotadai Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Managed Care Organization Pharmacy | 64211071704 | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4610754 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2332 W 12600 S, Ste C
Riverton, Utah |
| Zip: | 84065-7161 |
| Phone Number: | -- |
Patients can reach Icotadai Inc at
2332 W 12600 S, Ste C, Riverton, Utah or can
call on customer care at 801-253-6778.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.