MEDICINE MAN COMPOUNDING CENTER LLC is a compounding pharmacy pharmacy in Post Falls, ID. The provider is 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. MEDICINE MAN COMPOUNDING CENTER LLC NPI is 1659907962. The provider is registered as an organization entity type.
The provider's business location address is:
565 N VEST ST
POST FALLS, ID
ZIP 83854-066
Phone: (208) 773-2499
Fax: (208) 773-6309
The provider's authorized official is Donald Ray Smith .
The authorized official title is Managing Parner and has the following contact phone number (208) 661-5199.
The CLIA number assigned to this NPI record is 13D2239004 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/18/2020 and was last updated on 3/18/2020.