Individual provider · Type 1 NPI

Mischa Pesicek

Pharmacist · Mountain Home, ID

NPI number 1609220094 Active

Practice location

2745 American Legion Blvd
Mountain Home, ID 83647-3185

Call (208) 587-0861 Map

Mailing address

6848 State Route 14
Ravenna, OH 44266-9401

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP7417 (ID)
Pharmacist 183500000X24599 (NC)
Pharmacist 183500000X55370 (TX)
Pharmacist 183500000X03333644 (OH)

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…

6 other providers at this address

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About NPI 1609220094

Mischa Pesicek's National Provider Identifier is 1609220094, issued on Apr 21, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mountain Home, ID. The record was last updated on Apr 21, 2016.