Organization
BONNER PROFESSIONAL COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERYL RICKARD (CHIEF EXECUTIVE OFFICER)
(208) 263-1441
Entity
Organization
Contact information
Practice address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-1093
(208) 265-1031
Mailing address
520 N 3RD AVE, SANDPOINT, ID 83864-1507
(208) 265-1093
(208) 265-1031
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
1402CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1402CP
STATE BOARD OF PHARMACY
ID
01
—
BB8651526
CONTROLLED SUBSTANCE REGI
DC
Enumeration date
02/20/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us