Tracey Peterson, PHARM D

NPI #1992188056 in Hayden, Idaho

Provider Information

NPI Number: 1992188056
Entity Type: Individual
Name: Tracey Peterson, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Jul 7, 2015
Last Updated: Jul 7, 2015

Practice Location

Address: 16654 N MORGAN LN
City: Hayden
State: Idaho
ZIP Code: 83835-5015
Phone: (208) 771-0802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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