Mischa Pesicek

NPI 1609220094 · on the registry since 2016

Practice

Address: 2745 American Legion Blvd
Mountain Home, ID 83647
Phone: (208) 587-0861
Organisation at this address: Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Pharmacist
183500000X
Also registered as: Pharmacist
Pharmacist
Pharmacist
Licence states on file: ID, NC, TX, OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho