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Medicine Man West Pharmacy Llc
Compounding Pharmacy in Post Falls, Idaho
NPI 1124193487

Medicine Man West Pharmacy Llc is a Compounding Pharmacy based in Post Falls, ID and is specialized in Compounding Pharmacy. Medicine Man West Pharmacy Llc practices in Post Falls, ID. The NPI Number for Medicine Man West Pharmacy Llc is 1124193487 and holds a License No. (Idaho).

The current practice location address for Medicine Man West Pharmacy Llc is 802 E Medical Ct, Post Falls, ID and can be reached out via phone at 208-773-3566 and via fax at 208-777-8239.

Location: 802 E Medical Ct, Post Falls, ID, 83854-7298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124193487
Provider Name
Medicine Man West Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
802 E Medical Ct, Post Falls, ID, 83854-7298
Phone Number
208-773-3566
Fax Number
208-777-8239
Provider Enumeration Date
11/22/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002599400 05 ID
20002785 01 ID MEDICARE PART B
1304411 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
802 E Medical Ct
City
Post Falls
State
Idaho
Zip
83854-7298
Phone Number
208-773-3566
Fax Number
208-777-8239
person
Provider Business Mailing Address Details
Address
802 E Medical Ct
City
Post Falls
State
Idaho
Zip
83854-7298
Phone Number
208-773-3566
Fax Number
208-777-8239
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
719CP (Idaho)
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 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 4
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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