TRACY BIDEGANETA, RPH

Pharmacist

Active Individual
NPI: 1215910229

Practice Address

270 N 2ND E
Mountain Home, ID 83647

Phone: (208) 587-3346

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes P4566 (ID)

Frequently Asked Questions

NPI 1215910229 is the National Provider Identifier for TRACY BIDEGANETA, RPH, a Pharmacist provider located in Mountain Home, ID. This NPI was enumerated on November 22, 2005.
TRACY BIDEGANETA, RPH practices at 270 N 2ND E, Mountain Home, ID 83647.

Quick Facts

NPI
1215910229
Type
Individual
Enumerated
Nov 22, 2005
Last Updated
Jul 8, 2007

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