Beth Tracy, PHARM.D.
Individual provider Active NPI Pharmacist · North Oaks, MN
NPI 1487360285 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1487360285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 123115 (MN)
- Practice address
- 600 Village Center Dr
North Oaks, MN 55127-3005 - Phone
- (651) 251-1014
- Fax
- (651) 251-1020
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123115 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
600 Village Center Dr
North Oaks, MN 55127
Phone (651) 251-1014
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123115 | MN | Yes |
Addresses
Primary practice location
600 Village Center Dr
North Oaks, MN 55127-3005
Mailing address
600 Village Center Dr
North Oaks, MN 55127-3005
Phone (651) 251-1014
Other providers in North Oaks, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.