Medicine Man North Pharmacy Inc in Hayden - Compounding Pharmacy
Medicine Man North Pharmacy Inc - NPI 1023179892
Medicine Man North Pharmacy Inc is a Compounding Pharmacy in Hayden, Idaho. Medicine Man North Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Medicine Man North Pharmacy Inc is 1023179892. The last update date is 2022-06-03.
Medicine Man North Pharmacy Inc's current location address is 8093 N Cornerstone Dr, Hayden, Idaho. You can contact this provider via phone number 2087629355 and fax number 2087629198. The mailing address for Medicine Man North Pharmacy Inc is 8093 N Cornerstone Dr, Hayden, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medicine Man North Pharmacy Inc |
|---|---|
| Address | 8093 N Cornerstone Dr, Hayden, Idaho |
| Phone Number | 2087629355 |
| Fax Number | 2087629198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Kreider E Korey |
| Credentials | PHARMD |
| Telephone Number | 2086603938 |
NPI Number Detail
| NPI Number | 1023179892 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2022-06-03 |
Provider Mailing Address Detail
| Address | 8093 N Cornerstone Dr |
|---|---|
| City | Hayden |
| State | Idaho (ID) |
| Post Code | 838358753 |
| Phone Number | 2087629355 |
| Fax Number | 2087629198 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
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 pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2021452 | PK | ||
| 1023179892 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Medicine Man North Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Medicine Man North Pharmacy Inc has been issued the NPI (National Provider Identifier) 1023179892 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Medicine Man North Pharmacy Inc is physically located?
The Medicine Man North Pharmacy Inc is situated at the following address: 8093 N Cornerstone Dr, Hayden, ID 838358753.
What is Medicine Man North Pharmacy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Medicine Man North Pharmacy Inc is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.
On what date was the 1023179892 assigned to Medicine Man North Pharmacy Inc?
The Medicine Man North Pharmacy Inc was issued its 1023179892 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Medicine Man North Pharmacy Inc most recently updated?
The details pertaining to the Medicine Man North Pharmacy Inc, including its address, specialty, and other relevant information, were last refreshed on 2022-06-03.