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Bonner Professional Compounding
Compounding Pharmacy in Sandpoint, Idaho
NPI 1154532794

Bonner Professional Compounding is a Compounding Pharmacy based in Sandpoint, ID and is specialized in Compounding Pharmacy. Bonner Professional Compounding practices in Sandpoint, ID. The NPI Number for Bonner Professional Compounding is 1154532794 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
1154532794
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
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1402CP 01 ID STATE LICENSE #
1306718 01 ID NCPDS #
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
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
1402CP (Idaho)
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 practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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