Organization · Type 2 NPI

Medicine Man North Pharmacy Inc

Community/Retail Pharmacy · Hayden, ID

NPI number 1821159997 Active

Practice location

240 W Hayden Ave
Hayden, ID 83835-8194

Call (208) 772-3311 Map

Fax (208) 772-1779

Mailing address

PO Box 1706
Hayden, ID 83835-1706

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	864RP (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 …

Another provider at this address

Brian S. Stewart, PharmDPharmacist Hayden, ID NPI 1215463690

Other community/retail pharmacy providers in Hayden

See all in Hayden →

NPI record

NPI: 1821159997
Entity type: Organization (Type 2)
Issued: Dec 13, 2006
Last updated: Jun 3, 2022
Status: Active

Other names

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Medicine Man Hayden Pharmacy · doing business as
Medicine Man Hayden Pharmacy · doing business as

Authorized official

Korey E Kreider, PharmD
COO
(208) 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.

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About NPI 1821159997

Medicine Man North Pharmacy Inc's National Provider Identifier is 1821159997, issued on Dec 13, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hayden, ID. The record was last updated on Jun 3, 2022.