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Tracy Lynn Bideganeta, RPH
Pharmacist in Mountain Home, Idaho
NPI 1215910229

Tracy Lynn Bideganeta is a Pharmacist based in Mountain Home, ID. Tracy Lynn Bideganeta practices in Mountain Home, ID and has the professional credentials of RPH. The NPI Number for Tracy Lynn Bideganeta is 1215910229 and holds a License No. P4566 (Idaho).

The current practice location address for Tracy Lynn Bideganeta is 270 N 2Nd E, Mountain Home, ID and can be reached out via phone at 208-587-3346 and via fax at 208-587-2052.

Location: 270 N 2Nd E, Mountain Home, ID, 83647-2725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215910229
Provider Name
Tracy Lynn Bideganeta
Credential
RPH
Provider Entity Type
Individual
Gender
Female
Address
270 N 2Nd E, Mountain Home, ID, 83647-2725
Phone Number
208-587-3346
Fax Number
208-587-2052
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
270 N 2Nd E
City
Mountain Home
State
Idaho
Zip
83647-2725
Phone Number
208-587-3346
Fax Number
208-587-2052
person
Provider Business Mailing Address Details
Address
270 N 2Nd E
City
Mountain Home
State
Idaho
Zip
83647-2725
Phone Number
208-587-3346
Fax Number
208-587-2052
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
P4566 (Idaho)
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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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270 N 2Nd E,
MOUNTAIN HOME, ID
83647-2725
208-587-3346
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