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:
Map and Directions
Authorized official contact:
Name: Wheatley, Robert
Phone: (208) 452-3340

Health care specialties

SpecialtyCodeLicense #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 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659700896 NPPES
Other 2142790 PK

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