Tracy Lynn Bideganeta in Mountain Home - Pharmacist
Tracy Lynn Bideganeta - NPI 1215910229
Tracy Lynn Bideganeta is a Pharmacist in Mountain Home, Idaho. Tracy Lynn Bideganeta practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Tracy Lynn Bideganeta is 1215910229. The last update date is 2007-07-08.
Tracy Lynn Bideganeta's current location address is 270 N 2nd E, Mountain Home, Idaho. You can contact this provider via phone number 2085873346 and fax number 2085872052. The mailing address for Tracy Lynn Bideganeta is 270 N 2nd E, Mountain Home, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Bideganeta |
|---|---|
| Address | 270 N 2nd E, Mountain Home, Idaho |
| Phone Number | 2085873346 |
| Fax Number | 2085872052 |
| Sole Proprietor | X |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1215910229 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 270 N 2nd E |
|---|---|
| City | Mountain Home |
| State | Idaho (ID) |
| Post Code | 836472725 |
| Phone Number | 2085873346 |
| Fax Number | 2085872052 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | P4566 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Tracy Lynn Bideganeta's unique identification number?
The Tracy Lynn Bideganeta has been assigned the NPI (National Provider Identifier) Number 1215910229 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Tracy Lynn Bideganeta by the Centers for Medicare & Medicaid Services?
The Tracy Lynn Bideganeta has been issued the NPI (National Provider Identifier) 1215910229, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracy Lynn Bideganeta is physically located?
The Tracy Lynn Bideganeta is physically situated at the following address: 270 N 2Nd E, Mountain Home, ID, 836472725.
What is Tracy Lynn Bideganeta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tracy Lynn Bideganeta is Pharmacist, and the taxonomy code that categorizes this field of expertise is 183500000X.
As of what date were the details related to Tracy Lynn Bideganeta most recently updated or revised?
The information pertaining to Tracy Lynn Bideganeta, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1376546309
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