MEDICINE MAN COMPOUNDING CENTER LLC
NPI 1659907962
Pharmacy - Compounding Pharmacy in Post Falls, ID
- Organization
- Pharmacy
- Compounding Pharmacy
About MEDICINE MAN COMPOUNDING CENTER LLC
This page provides the complete NPI Profile along with additional information for Medicine Man Compounding Center Llc, a provider established in Post Falls, Idaho operating as a Pharmacy, focusing in compounding pharmacy . The healthcare provider is registered in the NPI registry with number 1659907962 assigned on March 2020. The practitioner's primary taxonomy code is 3336C0004X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Donald Ray Smith Rph (Managing Parner)
- NPI
- 1659907962 Verify this NPI
- Provider Name
- MEDICINE MAN COMPOUNDING CENTER LLC
- Entity Type
- Organization
- Location Address
- 565 N VEST ST POST FALLS, ID 83854
- Location Phone
- (208) 773-2499
- Location Fax
- (208) 773-6309
- Mailing Address
- 565 N VEST ST POST FALLS, ID 83854
- Mailing Phone
- (208) 773-2499
- Mailing Fax
- (208) 773-6309
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-18-2020
- Last Update Date
- 03-18-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Compounding Pharmacy
- Taxonomy Code
- 3336C0004X
- Type
- Suppliers
- Taxonomy Description
- A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
POST FALLS, ID 83854
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659907962, enumerated as an "organization" on March 18, 2020.
The provider is located at 565 N VEST ST POST FALLS, ID 83854 and the phone number is (208) 773-2499.
Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.
