Bonner Professional Compounding in Sandpoint - Compounding Pharmacy
Bonner Professional Compounding - NPI 1154532794
Bonner Professional Compounding is a Compounding Pharmacy in Sandpoint, Idaho. Bonner Professional Compounding practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Bonner Professional Compounding is 1154532794. The last update date is 2020-08-22.
Bonner Professional Compounding's current location address is 520 N 3rd Ave, Sandpoint, Idaho. You can contact this provider via phone number 2082651093 and fax number 2082651031. The mailing address for Bonner Professional Compounding is 520 N 3rd Ave, Sandpoint, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bonner Professional Compounding |
|---|---|
| Address | 520 N 3rd Ave, Sandpoint, Idaho |
| Phone Number | 2082651093 |
| Fax Number | 2082651031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Snider F. Mary |
| Credentials | RPH |
| Telephone Number | 2082651093 |
NPI Number Detail
| NPI Number | 1154532794 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 520 N 3rd Ave |
|---|---|
| City | Sandpoint |
| State | Idaho (ID) |
| Post Code | 838641507 |
| Phone Number | 2082651093 |
| Fax Number | 2082651031 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 1402CP |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1402CP | ID | STATE LICENSE # | |
| 1306718 | ID | NCPDS # |
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What is the Bonner Professional Compounding's unique identification number?
The Bonner Professional Compounding has been assigned the NPI (National Provider Identifier) Number 1154532794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Bonner Professional Compounding is located?
The Bonner Professional Compounding is situated at the following address: 520 N 3Rd Ave, Sandpoint, ID, 838641507.
What is Bonner Professional Compounding's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bonner Professional Compounding's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date was the 1154532794 assigned to Bonner Professional Compounding?
The Bonner Professional Compounding was issued its 1154532794 on 2007-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bonner Professional Compounding most recently updated or refreshed?
The details pertaining to the Bonner Professional Compounding, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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