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MEDICINE MAN COMPOUNDING CENTER LLC
NPI 1659907962
Pharmacy - Compounding Pharmacy in Post Falls, ID

Active since March 18, 2020
565 N VEST ST, POST FALLS, ID 83854(208) 773-2499(208) 773-6309 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medicine Man Compounding Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICINE MAN COMPOUNDING CENTER LLC (NPI 1659907962) is a healthcare organization registered as a compounding pharmacy in Post Falls, Idaho and active in the NPI registry since March 2020. The organization lists Donald Ray Smith, Managing Parner, as its authorized official.

NPPES Registry Identity

NPI1659907962
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMEDICINE MAN COMPOUNDING CENTER LLC
Location Address565 N VEST STPost Falls, ID 83854-7066
Mailing Address565 N Vest StPost Falls, ID 83854-7066 · (208) 773-2499 · Fax (208) 773-6309
Phone(208) 773-2499
Fax(208) 773-6309
Organization SubpartNo
Authorized OfficialDonald Ray SmithManaging Parner · (208) 661-5199
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1659907962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
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.
565 N VEST ST, Post Falls, ID 83854
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Other Names 1

Doing Business AsMedicine Man Compounding Center Llc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH IDAHO COMPOUNDING CENTER LLC
Pharmacist
565 N VEST ST
POST FALLS, ID 83854
Kootenai County (208) 773-2499
WELL LIFE PHARMACY INCORPORATED
Pharmacy (Community/Retail Pharmacy)
565 N VEST ST
POST FALLS, ID 83854
Kootenai County (208) 773-2499
MRS. CINDY SMITH PHARMD
Pharmacist
565 N VEST ST
POST FALLS, ID 83854
Kootenai County (208) 773-2499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medicine Man Compounding Center LLC's NPI number?

The NPI number for Medicine Man Compounding Center LLC is 1659907962. It was assigned to this organization in the NPPES registry on March 18, 2020.

Where is Medicine Man Compounding Center LLC located?

Medicine Man Compounding Center LLC is located at 565 N Vest St, Post Falls, ID 83854. The listed phone number is (208) 773-2499.

What is Medicine Man Compounding Center LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Medicine Man Compounding Center LLC was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.