Medicine Man West LLC
NPI #1982778403 in Post Falls, Idaho
Provider Information
- NPI Number
- 1982778403
- Entity Type
- Organization
- Organization Name
- Medicine Man West LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Sep 14, 2016
Practice Location
- Address
- 805 E POLSTON AVE
- City
- Post Falls
- State
- Idaho
- ZIP Code
- 83854-6044
- Phone
- (208) 777-7732
Authorized Official
- Name
- DONALD SMITH
- Title
- OWNER
- Phone
- (208) 777-7732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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