| NPI | 1326183724 |
|---|---|
| Doing Business As | MEDICINE MAN |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN HENDRICKS Owner 877-789-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA CF00004196) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2012-02-09 |