| NPI | 1841387750 |
|---|---|
| Doing Business As | MEDICINE MAN LIBERTY LAKE |
| Entity Type | Organization |
| Authorized Contact | JOHN AMINI President 509-255-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.00059100) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-11-27 |