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Organization
TETON VALLEY HOSPITAL PHARMACY
Active
Organization
TETON VALLEY HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA C PIQUET (OPERATIONS MANAGER)
(208) 354-6302
Entity
Organization
Contact information
Practice address
120 EAST HOWARD AVE., DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Mailing address
120 EAST HOWARD AVE., DRIGGS, ID 83422-5112
(208) 354-2383
(208) 354-3158
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
1340PA
ID
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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