Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medicine Man North Pharmacy Inc

Organization Pharmacy · NPI 1649333261

Medicine Man North Pharmacy Inc is a Pharmacy in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 W Kathleen Ave
Coeur D Alene, ID 83815-8338
Phone: (208) 765-2268
Fax: (208) 765-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 847RP (ID)
Pharmacy Taxonomy 333600000X

Record details

NPI number1649333261
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Korey Kreider — C00 · (206) 660-3938
Other names Medicine Man North Pharmacy; Medicine Man North Pharmacy
NPI enumeratedDecember 18, 2006
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
Mailing addressPo Box 1706, Hayden, ID 83835-1706

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