TRACY LYNN BIDEGANETA

MOUNTAIN HOME, ID
NPI1215910229
Former NameTRACY LYNN CANTRELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4566)
Enumeration Date2005-11-22
Last Update Date2007-07-08
Business Address
-- TRACY LYNN BIDEGANETA RPh
270 N 2ND E
MOUNTAIN HOME, ID 83647-2725
Phone number: 208-587-3346
Mailing Address
-- TRACY LYNN BIDEGANETA RPh
270 N 2ND E
MOUNTAIN HOME, ID 83647-2725
Phone number: 208-587-2368
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