Medicine Man West Pharmacy Llc in Post Falls - Compounding Pharmacy
Medicine Man West Pharmacy Llc - NPI 1124193487
Medicine Man West Pharmacy Llc is a Compounding Pharmacy in Post Falls, Idaho. Medicine Man West Pharmacy Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Medicine Man West Pharmacy Llc is 1124193487. The last update date is 2013-09-16.
Medicine Man West Pharmacy Llc's current location address is 802 E Medical Ct, Post Falls, Idaho. You can contact this provider via phone number 2087733566 and fax number 2087778239. The mailing address for Medicine Man West Pharmacy Llc is 802 E Medical Ct, Post Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medicine Man West Pharmacy Llc |
|---|---|
| Address | 802 E Medical Ct, Post Falls, Idaho |
| Phone Number | 2087733566 |
| Fax Number | 2087778239 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Smith Donald |
| Telephone Number | 2087733566 |
NPI Number Detail
| NPI Number | 1124193487 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
| Address | 802 E Medical Ct |
|---|---|
| City | Post Falls |
| State | Idaho (ID) |
| Post Code | 838547298 |
| Phone Number | 2087733566 |
| Fax Number | 2087778239 |
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 |
|---|---|---|---|
| 2599400 | ID | -- | |
| 20002785 | ID | MEDICARE PART B | |
| 1304411 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique identifier code issued to Medicine Man West Pharmacy Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Medicine Man West Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1124193487. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Medicine Man West Pharmacy Llc is physically located?
The Medicine Man West Pharmacy Llc is physically situated at the following address: 802 E Medical Ct, Post Falls, ID, 838547298.
What is Medicine Man West Pharmacy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medicine Man West Pharmacy Llc's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date did the Medicine Man West Pharmacy Llc receive its 1124193487 assignment from the Centers for Medicare & Medicaid Services?
The Medicine Man West Pharmacy Llc was assigned its 1124193487 by the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date were the details related to Medicine Man West Pharmacy Llc most recently updated or revised?
The information pertaining to Medicine Man West Pharmacy Llc, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-16.