Valley Compounding Pharmacy
LBN: Ontario Pharmacy Inc
Valley Compounding Pharmacy is an health care organization with primary practice located at 1118 Nw 16Th St # 150B , Fruitland ID 83619-2271. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
Ontario Pharmacy Inc can be contacted via phone (208) 452-3340, or through Wheatley, Robert via phone (208) 452-3340.
Contact Information
Primary practice address
1118 Nw 16Th St # 150B
Fruitland ID 83619-2271
Phone: (208) 452-3340
Fax: (208) 452-7446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | 21811LS | Idaho |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1659700896 |
|---|---|
| LBN Legal business name | Ontario Pharmacy Inc |
| DBA Doing business as | Valley Compounding Pharmacy |
| Authorized official | Wheatley, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2013 |
| Last updated | Mar 19th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659700896 | NPPES |
| Other | 2142790 | PK |
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