Pharmacy

MEDICINE MAN COMPOUNDING CENTER LLC

Public NPPES listing with taxonomy: Pharmacy, Compounding Pharmacy.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1659907962

Taxonomy: Pharmacy, Compounding Pharmacy (3336C0004X)

Source confidence: 62%

Medicare assignment: Unknown from NPPES

Address: 565 N VEST ST, POST FALLS, ID, 838547066

Phone: 208-773-2499

Last verified: May 15, 2026