| NPI | 1295054070 |
|---|---|
| Doing Business As | MEDICINE MAN SANDPOINT |
| Entity Type | Organization |
| Authorized Contact | MICHELLE DUHON President 208-597-7466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 2414RP) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2015-06-17 |