# MR. TRACY STEVEN MONKEVICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609903475
- **Gender:** Man
- **Credential:** RPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 5302030208 | MI | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 5302030208 | MI | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 12/13/2019