Medicine Man North Pharmacy INC

NPI #1821159997 in Hayden, Idaho

Provider Information

NPI Number
1821159997
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
240 W HAYDEN AVE
City
Hayden
State
Idaho
ZIP Code
83835-8194
Phone
(208) 772-3311

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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