MEDICINE MAN WEST LLC
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1982665923- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 15837 N WESTWOOD DR, RATHDRUM, ID, 838586432
- Phone
- (208) 687-5717
- Fax
- (208) 687-9387
Specialties & Taxonomies
Pharmacy, Mail Order Pharmacy
Pharmacy, Compounding Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: ID #1513RP
All Addresses
MAILING
802 E MEDICAL CT
POST FALLS, ID, 838547298