Local City Search for Medical Equipment Suppliers ONTARIO PHARMACY INC
Specialty Pharmacy
Fruitland, Idaho
Provider NPI: 1659700896
Organization Information:Organization Name: ONTARIO PHARMACY INC
Practice Location:
1118 NW 16TH ST # 150B FRUITLAND, ID 83619 US
Tel: 208-452-3340 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1118 NW 16TH ST # 150B FRUITLAND, ID 83619 US
Tel: 208-452-3340 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 3336S0011X | Suppliers Pharmacy Specialty Pharmacy | ||
| N | 3336C0003X | Suppliers Pharmacy | ||
| Y | 3336C0004X | Suppliers Pharmacy | ID | 21811LS |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PK | 2142790 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
