Medicine Man Liberty Lake is not a DME supplier for medicare equipments and products.
Medicine Man Liberty Lake is a Long Term Care Pharmacy in Liberty Lake, Washington. This pharmacy is owned and operated by Halcyon Rx Inc. It is located at 23801 E Appleway Ave, Ste 260b, Liberty Lake and it's customer support contact number is 509-755-3333. The authorized person of Medicine Man Liberty Lake is John Amini, RPH who is Owner And Pharmacist of the pharmacy and his contact number is 509-755-3333. Active license number of Medicine Man Liberty Lake is FL0341254 for Long Term Care Pharmacy in Washington. Medicine Man Liberty Lake is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Medicine Man Liberty Lake type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Medicine Man Liberty Lake
Type:
Long Term Care Pharmacy
Location:
23801 E Appleway Ave, Ste 260b, Liberty Lake, Washington, 99019-9687
Phone:
509-755-3333
Fax:
509-755-3337
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
John Amini
Credentials:
RPH
Position:
Owner And Pharmacist
Contact Number:
509-755-3333
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 pharmacy are as mentioned below.
NPI Number:
1326142373
NPI Enumeration Date:
12 Sep, 2006
NPI Last Update On:
12 Feb, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medicine Man Liberty Lake are as mentioned below.
Specialization
License Number
State
Status
Long Term Care Pharmacy
FL0341254
Washington
Primary
Durable Medical Equipment & Medical Supplies
FL0341254
Washington
Secondary
Compounding Pharmacy
FL0341254
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
6024178
Medicaid
Washington
4931463
Other
Other Id Number-commercial Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
23801 E Appleway Ave, Ste 260b Liberty Lake, Washington
Zip:
99019-9687
Phone Number:
509-755-3333
Fax Number:
509-755-3337
Patients can reach Medicine Man Liberty Lake at 23801 E Appleway Ave, Ste 260b, Liberty Lake, Washington or can call on customer care at 509-755-3333.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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