Bonner Professional Compounding

LBN: Bonner Professional Compounding
Bonner Professional Compounding is an health care organization with primary practice located at 520 N 3Rd Ave , Sandpoint ID 83864-1507. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Bonner Professional Compounding can be contacted via phone (208) 265-1093, or through Snider, Mary F. via phone (208) 265-1093.

Contact Information

Primary practice address
520 N 3Rd Ave Sandpoint ID 83864-1507
Phone: (208) 265-1093
Fax: (208) 265-1031
Website:
Map and Directions
Authorized official contact:
Name: Snider, Mary F. RPH
Phone: (208) 265-1093

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 1402CP Idaho

Profile Details

NPI number 1154532794
LBN Legal business name Bonner Professional Compounding
DBA Doing business as
Authorized official Snider, Mary F. RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154532794 NPPES
Idaho Other 1402CP STATE LICENSE #
Idaho Other 1306718 STATE LICENSE #

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