Teton Pharmacy
LBN: Teton Clinical Pharmacy Inc
Teton Pharmacy is an health care organization with primary practice located at 2470 Jafer Ct , Idaho Falls ID 83404-5587. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Teton Clinical Pharmacy Inc can be contacted via phone (208) 529-3636, or through Bailey, Jason via phone (208) 529-3636.
Contact Information
Primary practice address
2470 Jafer Ct
Idaho Falls ID 83404-5587
Phone: (208) 529-3636
Fax: (208) 528-6562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2226RP | Idaho |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1316949910 |
|---|---|
| LBN Legal business name | Teton Clinical Pharmacy Inc |
| DBA Doing business as | Teton Pharmacy |
| Authorized official | Bailey, Jason PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 13th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316949910 | NPPES |
| Idaho | MEDICAID | 1043629397 | |
| Idaho | Other | 2020627 | |
| Idaho | MEDICAID | 002551700 |
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