MEDICARE: TRACI CHINANDER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	20245	IA
2	183500000X	Pharmacist	051290781	IL

General Provider Information

NPI Number	:	1285831958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI CHINANDER PHARMD

Provider Business Mailing Address
First Line	:	1641 MAPLE BLVD
Second Line	:
City	:	WILTON
State	:	IA
Zip	:	52778-9360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 S 1ST AVE
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-5211
Country	:	US
Telephone Number	:	319-688-4386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	05/11/2026

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Directions to “ TRACI CHINANDER PHARMD” Practice Location

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