Medicine Man North Pharmacy Inc
Medicine Man North Pharmacy Inc is a Pharmacy in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
8093 N Cornerstone DrHayden, ID 83835-8753
Phone: (208) 762-9355
Fax: (208) 762-9198
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 1308RP (ID) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1023179892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Korey Kreider — Coo · (208) 660-3938 |
| Other names | Medicine Man Prairie Pharmacy; Medicine Man Prairie Pharmacy |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | June 3, 2022 |
| Mailing address | 8093 N Cornerstone Dr, Hayden, ID 83835-8753 |
Other providers in Hayden
-
Daryll Butler, RPH
43 W Prairie Shopping Ctr, Hayden, ID 83835-9854 · (208) 772-2774
-
Medicine Man North Pharmacy Inc
240 W Hayden Ave, Hayden, ID 83835-8194 · (208) 772-3311
-
Medicine Man North Pharmacy Inc
30585 N Roberts Rd, Hayden, ID 83835 · (208) 683-1309