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1568458719
TRACY K. PETTINGER
POCATELLO, ID
NPI
1568458719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1835P1200X Pharmacist, Pharmacotherapy
(Licence: ID P5743)
Enumeration Date
2005-09-23
Last Update Date
2007-07-08
Business Address
Dr. TRACY K. PETTINGER Pharm.D.
465 MEMORIAL DR IDAHO STATE UNIVERSITY
POCATELLO, ID 83201-4008
Phone number: 208-282-5012
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Mailing Address
Dr. TRACY K. PETTINGER Pharm.D.
IDAHO STATE UNIVERSITY CAMPUS BOX 8357
POCATELLO, ID 83209-0001
Phone number: 208-282-5012
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