Medicine Man North Pharmacy INC

Practice location

Address

240 W Hayden Ave, Hayden, ID 83835-8194

Phone

(208) 772-3311

Fax

(208) 772-1779

Mailing address

PO Box 1706, Hayden, ID 83835-1706

Authorised official

Name

Korey E Kreider

Title

Coo

Phone

(208) 660-3938

Registered specialties (2)

Registry record

NPI

1821159997

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.