SearchIdaho183500000X

Tracey Peterson, PHARM D

NPI 1992188056 · on the registry since 2015 · sole proprietor

Practice

Address
16654 N Morgan Ln
Hayden, ID 83835
Phone
(208) 771-0802

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-07

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