Medicine Man North Pharmacy INC

NPI #1023179892 in Hayden, Idaho

Provider Information

NPI Number
1023179892
Entity Type
Organization
Organization Name
Medicine Man North Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Dec 13, 2006
Last Updated
Jun 3, 2022

Practice Location

Address
8093 N CORNERSTONE DR
City
Hayden
State
Idaho
ZIP Code
83835-8753
Phone
(208) 762-9355

Authorized Official

Name
KOREY E KREIDER, PHARMD
Title
COO
Phone
(208) 660-3938

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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