Bideganeta, Tracy Lynn

Bideganeta, Tracy Lynn is an individual health care provider with primary practice located at 270 N 2Nd E , Mountain Home ID 83647-2725. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bideganeta, Tracy Lynn can be contacted via phone (208) 587-3346.

Contact Information

Primary practice address
270 N 2Nd E Mountain Home ID 83647-2725
Phone: (208) 587-3346
Fax: (208) 587-2052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P4566 Idaho

Profile Details

NPI number 1215910229
LBN Legal business name Bideganeta, Tracy Lynn
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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