Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracy Michelle Coffman

Individual provider Geriatric Pharmacist · NPI 1043840754

Tracy Michelle Coffman is a Geriatric Pharmacist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020

Practice location Address checks out

1023 Yellowstone Ave Ste J
Pocatello, ID 83201-4478
Phone: (208) 233-2444
Fax: (208) 912-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Pharmacist (primary) Taxonomy 1835G0303X · Licence P5360 (ID)

Record details

NPI number1043840754
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 22, 2020
Certification dateJanuary 22, 2020
Mailing address1023 Yellowstone Ave Ste J, Pocatello, ID 83201-4478

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