NPI 1760564553

Ontario Pharmacy INC

Organisation Community/Retail Pharmacy Fruitland, ID

Practice location

Address: 1118 NW 16th St # 150, Fruitland, ID 83619-2271
Phone: (208) 452-7075
Fax: (208) 452-7446

Authorised official

Name: Erin Jackson
Title: Pharmacist
Phone: (208) 452-7075

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 36033RP (ID)

Other Pharmacy providers in Idaho →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1760564553
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 5 Aug 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.