Tracie Elizabeth Petzing

NPI #1396345732 in Effingham, Illinois

Provider Information

NPI Number: 1396345732
Entity Type: Individual
Name: Tracie Elizabeth Petzing
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 1204 AVE OF MID AMERICA STE 2
City: Effingham
State: Illinois
ZIP Code: 62401-4716
Phone: (217) 347-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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