Individual provider · Type 1 NPI

Tracy Lynn Bideganeta, RPH

Pharmacist · Mountain Home, ID

NPI number 1215910229 Active

Practice location

270 N 2nd E
Mountain Home, ID 83647-2725

Call (208) 587-3346 Map

Fax (208) 587-2052

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP4566 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1215910229

Tracy Lynn Bideganeta, RPH's National Provider Identifier is 1215910229, issued on Nov 22, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mountain Home, ID. The record was last updated on Jul 13, 2026.