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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336S0011XSuppliers
Pharmacy
Specialty Pharmacy
N3336C0003XSuppliers
Pharmacy
Y3336C0004XSuppliers
Pharmacy
ID21811LS

Other Provider Identifiers:

IssuerNumberStateType
PK214279001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS ID - Page 1



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