Individual provider · Type 1 NPI

Tanner Tracy, PharmD

Pharmacist · Boise, ID

NPI number 1699696286 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Mailing address

6248 S Rockrose Way
Boise, ID 83716-7133

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3481219 (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 1699696286

Tanner Tracy, PharmD's National Provider Identifier is 1699696286, issued on Jul 21, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Boise, ID. The record was last updated on Jul 21, 2026.