Park-Vu Pharmacy

LBN: Ontario Pharmacy Inc
Park-Vu Pharmacy is an health care organization with primary practice located at 1118 Nw 16Th St # 150 , Fruitland ID 83619-2271. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ontario Pharmacy Inc can be contacted via phone (208) 452-7075, or through Jackson, Erin via phone (208) 452-7075.

Contact Information

Primary practice address
1118 Nw 16Th St # 150 Fruitland ID 83619-2271
Phone: (208) 452-7075
Fax: (208) 452-7446
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Erin PHARMD
Phone: (208) 452-7075

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 36033RP Idaho

Profile Details

NPI number 1760564553
LBN Legal business name Ontario Pharmacy Inc
DBA Doing business as Park-Vu Pharmacy
Authorized official Jackson, Erin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 5th, 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 1760564553 NPPES
Other 2020336 PK
MEDICAID 003355000 PK
MEDICAID 002430360 PK

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