Bonner Professional Compounding

Compounding Pharmacy · Sandpoint, ID

Organization Active NPI

NPI number 1154532794

Practice location

520 N 3rd Ave
Sandpoint, ID 83864-1507
Phone
(208) 265-1093
Fax
(208) 265-1031

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NPI record

NPI
1154532794
Entity type
Organization (Type 2)
Enumeration date
May 25, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Compounding Pharmacy Primary 3336C0004X 1402CP ID

Authorized official

Name
Ms. Mary F. Snider, RPH
Title
Pharmacist in Charge
Phone
(208) 265-1093

About Bonner Professional Compounding

Bonner Professional Compounding is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 520 N 3rd Ave, Sandpoint, ID 83864-1507. The NPI number 1154532794 was assigned on May 25, 2007 and the record was last updated on August 22, 2020.

Bonner Professional Compounding lists a license in the registry: #1402CP (ID) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Ms. Mary F. Snider, RPH, Pharmacist in Charge.

Frequently asked questions

What is the NPI number of Bonner Professional Compounding?

The NPI number is 1154532794.

What is the phone number of Bonner Professional Compounding?

The phone number listed for the practice location is (208) 265-1093.

Where is Bonner Professional Compounding located?

520 N 3rd Ave, Sandpoint, ID 83864-1507.

What is the taxonomy code for Bonner Professional Compounding?

The primary taxonomy code is 3336C0004X – Compounding Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.