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Bonner Professional Compounding
Pharmacotherapy Pharmacist in Sandpoint, Idaho
NPI 1093850877

Bonner Professional Compounding is a Pharmacotherapy Pharmacist based in Sandpoint, ID and is specialized in Pharmacotherapy. Bonner Professional Compounding practices in Sandpoint, ID. The NPI Number for Bonner Professional Compounding is 1093850877 and holds a License No. 1402CP (Idaho).

The current practice location address for Bonner Professional Compounding is 520 N 3Rd Ave, Sandpoint, ID and can be reached out via phone at 208-265-1093 and via fax at 208-265-1031.

Location: 520 N 3Rd Ave, Sandpoint, ID, 83864-1507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093850877
Provider Name
Bonner Professional Compounding
Credential
Provider Entity Type
Organization
Address
520 N 3Rd Ave, Sandpoint, ID, 83864-1507
Phone Number
208-265-1093
Fax Number
208-265-1031
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1402CP 01 ID STATE BOARD OF PHARMACY
BB8651526 01 DC CONTROLLED SUBSTANCE REGI
institution
Provider Business Practice Location Address Details
Address
520 N 3Rd Ave
City
Sandpoint
State
Idaho
Zip
83864-1507
Phone Number
208-265-1093
Fax Number
208-265-1031
person
Provider Business Mailing Address Details
Address
520 N 3Rd Ave
City
Sandpoint
State
Idaho
Zip
83864-1507
Phone Number
208-265-1093
Fax Number
208-265-1031
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacotherapy
Taxonomy
1835P1200X
License No.
1402CP (Idaho)
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
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