Organization · Type 2 NPI
Medicine Man Compounding Center LLC
Compounding Pharmacy · Post Falls, ID
Practice location
565 N Vest St
Post Falls, ID 83854-7066
Fax (208) 773-6309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | None listed |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
3 other providers at this address
About NPI 1659907962
Medicine Man Compounding Center LLC's National Provider Identifier is 1659907962, issued on Mar 18, 2020. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Post Falls, ID. The record was last updated on Mar 18, 2020.