OrganizationActive
Bonner Professional Compounding
NPI 1093850877 · Pharmacotherapy Pharmacist · Sandpoint, ID
Provider details
- NPI number
- 1093850877
- Entity type
- Organization
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Sheryl Rickard, Chief Executive Officer(208) 263-1441
- License
- 1402CP (ID)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
520 N 3rd Ave
Sandpoint, ID 83864-1507
Phone: (208) 265-1093
Fax: (208) 265-1031
Approximate (ZIP-level) locationGet directions
Mailing address
520 N 3rd Ave
Sandpoint, ID 83864-1507
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.