Organization · Type 2 NPI

Medicine Man North Pharmacy Inc

Community/Retail Pharmacy · Coeur D Alene, ID

NPI number 1649333261 Active

Practice location

305 W Kathleen Ave
Coeur D Alene, ID 83815-8338

Call (208) 765-2268 Map

Fax (208) 765-3540

Mailing address

PO Box 1706
Hayden, ID 83835-1706

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	847RP (ID)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Other community/retail pharmacy providers in Coeur D Alene

See all in Coeur D Alene →

NPI record

NPI: 1649333261
Entity type: Organization (Type 2)
Issued: Dec 18, 2006
Last updated: Jun 3, 2022
Status: Active

Other names

<unavail>
Medicine Man North Pharmacy · doing business as
Medicine Man North Pharmacy · doing business as

Authorized official

Korey E Kreider, PharmD
C00
(206) 660-3938

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1649333261

Medicine Man North Pharmacy Inc's National Provider Identifier is 1649333261, issued on Dec 18, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 3, 2022.