Medicine Man Bonners Ferry Pharmacy LLC
NPI #1578826178 in Bonners Ferry, Idaho
Provider Information
- NPI Number
- 1578826178
- Entity Type
- Organization
- Organization Name
- Medicine Man Bonners Ferry Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 19, 2012
- Last Updated
- May 23, 2024
Practice Location
- Address
- 6452 MAIN ST
- City
- Bonners Ferry
- State
- Idaho
- ZIP Code
- 83805-8520
- Phone
- (208) 267-4021
Authorized Official
- Name
- AIMEE STUERMER
- Title
- CO-OWNER
- Phone
- (208) 627-8861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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