Doctor Name: | TRACY A HENN |
NPI Number: | 1578712709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMD |
License Number: | 115963 |
Business Practice Address: | 1200 Grant Blvd W Wabasha, MN - 559811042 |
Business Phone Number: | 6515655527 |
Business Fax Number: | 6515655677 |
Mailing Address: | 1200 Grant Blvd W, WABASHA |
State: | MN |
Postal Code: | 559811042 |
Phone Number: | 6515655527 |
Fax Number: | 6515655677 |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 115963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |