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Medicine Man Bonners Ferry Pharmacy Llc
Long Term Care Pharmacy in Bonners Ferry, Idaho
NPI 1578826178

Medicine Man Bonners Ferry Pharmacy Llc is a Long Term Care Pharmacy based in Bonners Ferry, ID and is specialized in Long Term Care Pharmacy. Medicine Man Bonners Ferry Pharmacy Llc practices in Bonners Ferry, ID. The NPI Number for Medicine Man Bonners Ferry Pharmacy Llc is 1578826178 and holds a License No. 37603RP (Idaho).

The current practice location address for Medicine Man Bonners Ferry Pharmacy Llc is 6452 Main St, Bonners Ferry, ID and can be reached out via phone at 208-267-4021 and via fax at 208-267-4024.

Location: 6452 Main St, Bonners Ferry, ID, 83805-8520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578826178
Provider Name
Medicine Man Bonners Ferry Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
6452 Main St, Bonners Ferry, ID, 83805-8520
Phone Number
208-267-4021
Fax Number
208-267-4024
Provider Enumeration Date
06/19/2012
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578826178 05 MT
1578826178 05 ID
2150407 01 PK
institution
Provider Business Practice Location Address Details
Address
6452 Main St
City
Bonners Ferry
State
Idaho
Zip
83805-8520
Phone Number
208-267-4021
Fax Number
208-267-4024
person
Provider Business Mailing Address Details
Address
6452 Main St
City
Bonners Ferry
State
Idaho
Zip
83805-8520
Phone Number
208-267-4021
Fax Number
208-267-4024
person
Provider's Taxonomy Details 1
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 2
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
37603RP (Idaho)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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