MEDICINE MAN WEST LLC
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1982778403- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 805 E POLSTON AVE, POST FALLS, ID, 838546044
- Phone
- (208) 777-7732
- Fax
- (208) 777-0201
Specialties & Taxonomies
Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: ID #1114RP