OrganizationActive
Medicine Man Compounding Center LLC
NPI 1659907962 · Compounding Pharmacy · Post Falls, ID
Provider details
- NPI number
- 1659907962
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Authorized official
- Donald Smith, Managing Parner
Practice location
565 N Vest St
Post Falls, ID 83854-7066
Phone: (208) 773-2499
Fax: (208) 773-6309
Mailing address
565 N Vest St
Post Falls, ID 83854-7066
Registry dates
- Enumerated
- 2020-03-18
- Last updated
- 2020-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.