Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODERN COMPOUNDING PHARMACY
Active OrganizationMODERN COMPOUNDING PHARMACY is a Clinic Pharmacy organization located in MONTPELIER, Idaho. NPI 1891830550 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · MONTPELIER, ID
Registration Details
- NPI Number
- 1891830550
- Provider Type
- Organization
- NPI Issued
- Feb 20, 2007 (19.489282612505 yrs)
- Last Updated
- Aug 22, 2020
- License
-
1661LS (ID)
Practice Information
- Address
-
762 WASHINGTON STMONTPELIER, ID, 832541422Browse ID providers · Browse ZIP 83254
- Phone
- 2088470060
- Fax
- 2088470090
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.