Teton Pharmacy Home Health & Hospice
LBN: Teton Clinical Pharmacy, Inc.
Teton Pharmacy Home Health & Hospice is an health care organization with primary practice located at 2470 Jafer Ct. , Idaho Falls ID 83404. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Teton Clinical Pharmacy, Inc. can be contacted via phone (208) 529-3636, or through Bailey, Pamela Ann via phone (208) 529-3636.
Contact Information
Primary practice address
2470 Jafer Ct.
Idaho Falls ID 83404
Phone: (208) 529-3636
Fax: (208) 529-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Infusion | 251F00000X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | 2226CP | Idaho |
Profile Details
| NPI number | 1396802773 |
|---|---|
| LBN Legal business name | Teton Clinical Pharmacy, Inc. |
| DBA Doing business as | Teton Pharmacy Home Health & Hospice |
| Authorized official | Bailey, Pamela Ann |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Apr 5th, 2013 - about 12 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 | 1396802773 | NPPES |
| Idaho | MEDICAID | 002551700 | |
| Idaho | MEDICAID | 002551800 |
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