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 only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Teton Clinical Pharmacy, Inc. can be contacted via phone (208) 529-3636, or through Bailey, Jason M 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:
Map and Directions
Authorized official contact:
Name: Bailey, Jason M
Phone: (208) 529-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1487711065
LBN Legal business name Teton Clinical Pharmacy, Inc.
DBA Doing business as Teton Pharmacy Home Health & Hospice
Authorized official Bailey, Jason M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487711065 NPPES
Idaho MEDICAID 002551800

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