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General NPI Number Information
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NPI Number | 1366310286
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Entity Type | Organization
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Legal Business Name | NORTH IDAHO COMPOUNDING CENTER LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 565 N VEST ST
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City | POST FALLS
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State | ID
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Zip | 83854-7066
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Country | US
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Telephone | 208-773-2499
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Fax | 208-773-6309
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Provider Business Mailing Address
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Address Line | 3000 S BONNELL RD
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City | COEUR D ALENE
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State | ID
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Zip | 83814-5078
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Country | US
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Telephone | 208-661-6697
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Fax | 208-773-6309
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | TIMOTHY BIEDIGER
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Credential | RPH
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Telephone | 208-773-2499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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