Modern Compounding Pharmacy
Modern Compounding Pharmacy is a Compounding Pharmacy in Montpelier, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
762 Washington StMontpelier, ID 83254-1422
Phone: (208) 847-0060
Fax: (208) 847-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Compounding Pharmacy (primary) | Taxonomy 3336C0004X · Licence 1661LS (ID) |
|---|
Record details
| NPI number | 1891830550 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Harold Olson — President · (208) 847-0060 |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 762 Washington St, Montpelier, ID 83254-1422 |