Medicine Man Bonners Ferry Pharmacy
LBN: Medicine Man Bonners Ferry Pharmacy Llc
Medicine Man Bonners Ferry Pharmacy is an health care organization with primary practice located at 6452 Main St , Bonners Ferry ID 83805-8520. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medicine Man Bonners Ferry Pharmacy Llc can be contacted via phone (208) 267-4021, or through Stuermer, Aimee via phone (208) 627-8861.
Contact Information
Primary practice address
6452 Main St
Bonners Ferry ID 83805-8520
Phone: (208) 267-4021
Fax: (208) 267-4024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 37603RP | Idaho |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1578826178 |
|---|---|
| LBN Legal business name | Medicine Man Bonners Ferry Pharmacy Llc |
| DBA Doing business as | Medicine Man Bonners Ferry Pharmacy |
| Authorized official | Stuermer, Aimee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | May 23rd, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578826178 | NPPES |
| Montana | MEDICAID | 1578826178 | |
| Montana | MEDICAID | 1578826178 | |
| Montana | Other | 2150407 |
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