Medicine Man Compounding Center Llc

LBN: Medicine Man Compounding Center Llc
Medicine Man Compounding Center Llc is an health care organization with primary practice located at 565 N Vest St , Post Falls ID 83854-7066. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Medicine Man Compounding Center Llc can be contacted via phone (208) 773-2499, or through Smith, Donald Ray via phone (208) 661-5199.

Contact Information

Primary practice address
565 N Vest St Post Falls ID 83854-7066
Phone: (208) 773-2499
Fax: (208) 773-6309
Website:
Map and Directions
Authorized official contact:
Name: Smith, Donald Ray RPH
Phone: (208) 661-5199

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1659907962
LBN Legal business name Medicine Man Compounding Center Llc
DBA Doing business as
Authorized official Smith, Donald Ray RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2020
Last updated Mar 18th, 2020 - about 4 years 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.

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