Interlake Pharmacy Inc
Pharmacist
700 W Ironwood Dr, Suite 159, Coeur D Alene
Idaho, 83814-2656
208-664-6664 208-664-8527
Interlake Pharmacy Inc is a Pharmacist in Coeur D Alene, Idaho. It is located at 700 W Ironwood Dr, Suite 159, Coeur D Alene and it's customer support contact number is 208-664-6664. The authorized person of Interlake Pharmacy Inc is Mr. Tim Brown, RPH who is Pharmacist/owner of this DME and his contact number is 208-664-6664. Active license number of Interlake Pharmacy Inc is 782CP for Pharmacist in Idaho.
Interlake Pharmacy Inc is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
DME Supplier Details:
Interlake Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Interlake Pharmacy Inc |
| Type: | Pharmacist |
| Location: | 700 W Ironwood Dr, Suite 159, Coeur D Alene,
Idaho, 83814-2656 |
| Phone: | 208-664-6664 |
| Fax: | 208-664-8527 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Tim Brown |
| Credentials: | RPH |
| Position: | Pharmacist/owner |
| Contact Number: | 208-664-6664 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1467425249 |
| NPI Enumeration Date: | 10 Feb, 2006 |
| NPI Last Update On: | 14 Sep, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Interlake Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 782CP | Idaho | Primary | |
| Durable Medical Equipment & Medical Supplies | 782CP | Idaho | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 002627900 | Medicaid | Idaho | |
| 001679200 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 700 W Ironwood Dr, Suite 159
Coeur D Alene, Idaho |
| Zip: | 83814-2656 |
| Phone Number: | 208-664-6664 |
| Fax Number: | 208-664-8527 |
Patients can reach Interlake Pharmacy Inc at
700 W Ironwood Dr, Suite 159, Coeur D Alene, Idaho or can
call on customer care at 208-664-6664.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.