Modern Compounding Pharmacy

LBN: Modern Compounding Pharmacy
Modern Compounding Pharmacy is an health care organization with primary practice located at 762 Washington St , Montpelier ID 83254-1422. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Modern Compounding Pharmacy can be contacted via phone (208) 847-0060, or through Olson, Harold A via phone (208) 847-0060.

Contact Information

Primary practice address
762 Washington St Montpelier ID 83254-1422
Phone: (208) 847-0060
Fax: (208) 847-0090
Website:
Map and Directions
Authorized official contact:
Name: Olson, Harold A PH
Phone: (208) 847-0060

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 1661LS Idaho

Profile Details

NPI number 1891830550
LBN Legal business name Modern Compounding Pharmacy
DBA Doing business as
Authorized official Olson, Harold A PH
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 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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