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

TRACEY PETERSON, PHARM D

Active Sole Proprietor

TRACEY PETERSON, PHARM D is a Pharmacist healthcare provider located in HAYDEN, Idaho. NPI 1992188056 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · HAYDEN, ID

Registration Details

NPI Number
1992188056
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2015 (11.059379271761 yrs)
Last Updated
Jul 7, 2015
License
P5462 (ID)
Sole Proprietor
Yes

Practice Information

Address
16654 N MORGAN LN
HAYDEN, ID, 838355015
Browse ID providers · Browse ZIP 83835
Phone
2087710802
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in HAYDEN, ID

Name Credential NPI
MARY JO JO LYONS RPH 1639373921
AMY LYNN LITTLE PHARM D 1275785248
YVONNE PREISS 1265762223
MR. ROBERT LEE LOVITT PHARMACIST 1477845162
CONSTANCE JOYCE TAYLOR CONNIE TAYLOR 1366735870
JENNIE ROSE BROWN PHARMD 1568759397
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.