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