Peterson, Tracey

Peterson, Tracey is an sole proprietor health care provider with primary practice located at 16654 N Morgan Ln , Hayden ID 83835-5015. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Peterson, Tracey can be contacted via phone (208) 771-0802.

Contact Information

Primary practice address
16654 N Morgan Ln Hayden ID 83835-5015
Phone: (208) 771-0802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X P5462 Idaho

Profile Details

NPI number 1992188056
LBN Legal business name Peterson, Tracey
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2015
Last updated Jul 7th, 2015 - about 11 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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