Organization
ONTARIO PHARMACY INC
Active
Other names
PARK-VU PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN JACKSON PHARMD (PHARMACIST)
(208) 452-7075
Entity
Organization
Contact information
Practice address
1118 NW 16TH ST # 150, FRUITLAND, ID 83619-2271
(208) 452-7075
(208) 452-7446
Mailing address
1118 NW 16TH ST # 150, FRUITLAND, ID 83619-2271
(208) 452-7075
(208) 452-7446
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
36033RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002430360
—
ID
05
—
003355000
—
ID
01
—
2020336
PK
—
Enumeration date
10/20/2006
Last updated
08/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up