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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACY LYNN BIDEGANETA, RPH

Active

TRACY LYNN BIDEGANETA, RPH is a Pharmacist healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1215910229 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MOUNTAIN HOME, ID

Registration Details

NPI Number
1215910229
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2005 (20.684869971736 yrs)
Last Updated
Jul 8, 2007
License
P4566 (ID)

Practice Information

Address
270 N 2ND E
MOUNTAIN HOME, ID, 836472725
Browse ID providers · Browse ZIP 83647
Phone
2085873346
Fax
2085872052
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MOUNTAIN HOME, ID

Name Credential NPI
JAMES ALEXANDER RPH 1427050020
JEFF JAUSORO 1891081790
TARA WHITNEY PHARMD 1053607234
DONALD TOOLSON 1548679467
ONOME BENJAMIN JONAH PHARMACIST 1619377959
CAYLIN LEPIRE 1144606112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.