<Unavail>
LBN: Medicine Man West Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 802 E Medical Ct , Post Falls ID 83854-7298. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medicine Man West Pharmacy Llc can be contacted via phone (208) 773-3566, or through Smith, Donald via phone (208) 773-3566.
Contact Information
Primary practice address
802 E Medical Ct
Post Falls ID 83854-7298
Phone: (208) 773-3566
Fax: (208) 777-8239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 719CP | Idaho |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1124193487 |
|---|---|
| LBN Legal business name | Medicine Man West Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Smith, Donald |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jan 19th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124193487 | NPPES |
| Idaho | MEDICAID | 002599400 | |
| Idaho | Other | 20002785 | |
| Idaho | Other | 1304411 |
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