NPI 1023179892

Medicine Man North Pharmacy INC

Organisation Community/Retail Pharmacy Hayden, ID

Practice location

Address: 8093 N Cornerstone Dr, Hayden, ID 83835-8753
Phone: (208) 762-9355
Fax: (208) 762-9198

Authorised official

Name: Korey E Kreider
Title: Coo
Phone: (208) 660-3938

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 1308RP (ID)

Other Pharmacy providers in Idaho →

Pharmacy

Suppliers Taxonomy 333600000X

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1023179892
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 3 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.