Pettinger, Tracy K.
Pettinger, Tracy K. is an individual health care provider with primary practice located at 465 Memorial Dr Idaho State University, Pocatello ID 83201-4008. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Pettinger, Tracy K. can be contacted via phone (208) 282-5012.Contact Information
Primary practice address
465 Memorial Dr Idaho State University
Pocatello ID 83201-4008
Phone: (208) 282-5012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | P5743 | Idaho |
Profile Details
| NPI number | 1568458719 |
|---|---|
| LBN Legal business name | Pettinger, Tracy K. |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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