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

MISCHA PESICEK

Active

MISCHA PESICEK is a Pharmacist healthcare provider located in MOUNTAIN HOME, Idaho. NPI 1609220094 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MOUNTAIN HOME, ID

Registration Details

NPI Number
1609220094
Provider Type
Individual
Gender
Female
NPI Issued
Apr 21, 2016 (10.298891611273 yrs)
Last Updated
Apr 21, 2016
Licenses
P7417 (ID)
24599 (NC)
55370 (TX)
03333644 (OH)

Practice Information

Address
2745 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID, 836473185
Browse ID providers · Browse ZIP 83647
Phone
2085870861
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist
Additional Specialty
Pharmacist

Other Pharmacist Providers in MOUNTAIN HOME, ID

Name Credential NPI
JAMES ALEXANDER RPH 1427050020
TRACY LYNN BIDEGANETA RPH 1215910229
JEFF JAUSORO 1891081790
TARA WHITNEY PHARMD 1053607234
DONALD TOOLSON 1548679467
ONOME BENJAMIN JONAH PHARMACIST 1619377959
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.