Whalio Doctors

NPI 1659700896

Ontario Pharmacy INC

Organisation Compounding Pharmacy Fruitland, ID

Practice location

Address
1118 NW 16th St # 150b, Fruitland, ID 83619-2271
Phone
(208) 452-3340
Fax
(208) 452-7446

Authorised official

Name
Robert Wheatley
Title
Pharmacist/Owner
Phone
(208) 452-3340

Registered specialties (3)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence 21811LS (ID)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X

Registry record

NPI
1659700896
Entity type
Organization
NPI issued
8 Nov 2013
Record last updated
19 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.