Individual
DR. TRACY SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 BLAINE ST, CALDWELL, ID 83605
(208) 454-0484
(208) 454-3115
Mailing address
2500 BLAINE ST, CALDWELL, ID 83605-4461
(208) 454-0484
(208) 454-3115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5286
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P5286
IDAHO BOARD OF PHARMACY
ID
Enumeration date
10/26/2011
Last updated
06/19/2019
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