Bonner Professional Compounding

NPI #1154532794 in Sandpoint, Idaho

Provider Information

NPI Number
1154532794
Entity Type
Organization
Organization Name
Bonner Professional Compounding
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
May 25, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
520 N 3RD AVE
State
Idaho
ZIP Code
83864-1507
Phone
(208) 265-1093

Authorized Official

Name
MS. MARY F. SNIDER, RPH
Title
PHARMACIST IN CHARGE
Phone
(208) 265-1093

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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