Individual provider · Type 1 NPI
Tracie Elizabeth Petzing
Pharmacist · Effingham, IL
Practice location
1204 Ave Of Mid America Ste 2
Effingham, IL 62401-4716
Mailing address
69 N 2900 East Rd
Stewardson, IL 62463-4029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051287399 (IL) |
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 1396345732
Tracie Elizabeth Petzing's National Provider Identifier is 1396345732, issued on Oct 26, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Effingham, IL. The record was last updated on Oct 26, 2020.