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Medicine Man North Pharmacy Inc
Compounding Pharmacy in Hayden, Idaho
NPI 1023179892

Medicine Man North Pharmacy Inc is a Compounding Pharmacy based in Hayden, ID and is specialized in Compounding Pharmacy. Medicine Man North Pharmacy Inc practices in Hayden, ID. The NPI Number for Medicine Man North Pharmacy Inc is 1023179892 and holds a License No. (Idaho).

The current practice location address for Medicine Man North Pharmacy Inc is 8093 N Cornerstone Dr, Hayden, ID and can be reached out via phone at 208-762-9355 and via fax at 208-762-9198. You can also correspond with Medicine Man North Pharmacy Inc through the mailing address at 8093 N CORNERSTONE DR, HAYDEN, ID - 83835-8753 (mailing address contact number: 208-762-9355).

Location: 8093 N Cornerstone Dr, Hayden, ID, 83835-8753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023179892
Provider Name
Medicine Man North Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
8093 N Cornerstone Dr, Hayden, ID, 83835-8753
Phone Number
208-762-9355
Fax Number
208-762-9198
Provider Enumeration Date
12/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021452 01 PK
1023179892 05 ID
institution
Provider Business Practice Location Address Details
Address
8093 N Cornerstone Dr
City
Hayden
State
Idaho
Zip
83835-8753
Phone Number
208-762-9355
Fax Number
208-762-9198
person
Provider Business Mailing Address Details
Address
8093 N Cornerstone Dr
City
Hayden
State
Idaho
Zip
83835-8753
Phone Number
208-762-9355
Fax Number
208-762-9198
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
1308RP (Idaho)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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