Medicine Man Pharmacy Inc, NPI 1750493698
Community/Retail Pharmacy in Coeur D Alene, ID, US

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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
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Organization Official

Official Name RPH Brian Jorgensen
Official Position PRESIDENT
Phone 208-666-2502

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

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.

Other Organization Name

MEDICINE MAN PHARMACY INC
Doing Business As

Business Address

Medicine Man Pharmacy Inc
1114 W Ironwood Dr

Coeur D Alene, ID, US

Phone: 208-666-2502
Fax: 208-667-5921

Mailing Address

Medicine Man Pharmacy Inc
1114 W Ironwood Dr
Coeur D Alene, ID, US
ZIP 838142605
Phone: 208-666-2502
Fax: 208-667-5921

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

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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