Tracy Michelle Coffman

NPI #1043840754 in Pocatello, Idaho

Provider Information

NPI Number
1043840754
Entity Type
Individual
Name
Tracy Michelle Coffman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist - Geriatric
Enumeration Date
Jan 22, 2020
Last Updated
Jan 22, 2020

Practice Location

Address
1023 YELLOWSTONE AVE STE J
State
Idaho
ZIP Code
83201-4478
Phone
(208) 233-2444

Specialties & Taxonomy Codes

Specialty
Pharmacist - GeriatricGeriatric

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