| NPI | 1649333261 |
|---|---|
| Doing Business As | MEDICINE MAN NORTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KOREY E KREIDER C00 206-660-3938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 847RP) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2022-06-03 |