OrganizationActive
Bonner Professional Compounding
NPI 1154532794 · Compounding Pharmacy · Sandpoint, ID
Provider details
- NPI number
- 1154532794
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mary Snider, Pharmacist in Charge(208) 265-1093
- License
- 1402CP (ID)
Specialties & taxonomies
Suppliers
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
- 2007-05-25
- 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.