Tracy Anne Bedard
Individual provider Active NPI Pharmacist · Hooksett, NH
NPI 1497583629 · NPPES record last updated Jul 22, 2024
Key facts
- NPI
- 1497583629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 3217 (NH)
- Practice address
- 1298 Hooksett Rd
Hooksett, NH 03106-1842 - Phone
- (603) 647-2846
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3217 | NH | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3217 | NH | Yes |
Addresses
Primary practice location
1298 Hooksett Rd
Hooksett, NH 03106-1842
Mailing address
9 Wallace Rd
Goffstown, NH 03045-1824
Phone (603) 660-2980
Other names
- Tracy Anne Fontaine
Other providers in Hooksett, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2024. 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.