Healthcare Provider Details

I. General information

NPI: 1437028172
Provider Name (Legal Business Name): TAMARACK PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15837 N WESTWOOD DR
RATHDRUM ID
83858-6432
US

IV. Provider business mailing address

805 E POLSTON AVE
POST FALLS ID
83854-6044
US

V. Phone/Fax

Practice location:
  • Phone: 208-457-4112
  • Fax: 208-457-4122
Mailing address:
  • Phone: 208-457-4112
  • Fax: 208-457-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MEGAN BAKER
Title or Position: OWNER/MANAGER
Credential: PHARMD
Phone: 360-773-6375