-- TRACY LYNN BIDEGANETA -- RPh
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1215910229- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RPh
- Status
- Active
Contact & Location
- Address
- 270 N 2ND E, MOUNTAIN HOME, ID, 836472725
- Phone
- (208) 587-3346
- Fax
- (208) 587-2052
Specialties & Taxonomies
Pharmacist
Primary License: ID #P4566