Ontario Pharmacy INC

NPI #1760564553 in Fruitland, Idaho

Provider Information

NPI Number
1760564553
Entity Type
Organization
Organization Name
Ontario Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 20, 2006
Last Updated
Aug 5, 2014

Practice Location

Address
1118 NW 16TH ST # 150
State
Idaho
ZIP Code
83619-2271
Phone
(208) 452-7075

Authorized Official

Name
ERIN JACKSON, PHARMD
Title
PHARMACIST
Phone
(208) 452-7075

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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