Medicine Man Pharmacy Inc, NPI 1750493698
Community/Retail Pharmacy in Coeur D Alene, ID, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1750493698 |
| NPI Entity Type | Organization |
| Provider Name |
Medicine Man Pharmacy Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1114 W Ironwood Dr, Coeur D Alene, ID, US |
| Provider Mailing Address | 1114 W Ironwood Dr, Coeur D Alene, ID, US, 838142605 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Brian Jorgensen |
| Official Position | PRESIDENT |
| Phone | 208-666-2502 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Retail Pharmacy |
| Classification | |
| Group | |
| License No. | 657RP |
| License State | ID |
| Description | 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 health care providers, collaborative practice, disease state management, and education classes. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 002541100 | ID | MEDICAID | 05 |
| 002541200 | ID | MEDICAID | 05 |
| 2020458 | PK | 01 |
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