Pesicek, Mischa

Pesicek, Mischa is an individual health care provider with primary practice located at 2745 American Legion Blvd , Mountain Home ID 83647-3185. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Pesicek, Mischa can be contacted via phone (208) 587-0861.

Contact Information

Primary practice address
2745 American Legion Blvd Mountain Home ID 83647-3185
Phone: (208) 587-0861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P7417 Idaho
Pharmacy Service Providers / Pharmacist 183500000X 24599 North Carolina
Pharmacy Service Providers / Pharmacist 183500000X 55370 Texas
Pharmacy Service Providers / Pharmacist 183500000X 03333644 Ohio

Profile Details

NPI number 1609220094
LBN Legal business name Pesicek, Mischa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2016
Last updated Apr 21st, 2016 - about 10 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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