# TETON CLINICAL PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TETON PHARMACY HOME HEALTH & HOSPICE
- **Other names:** Teton Pharmacy Home Health & Hospice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992862577
- **Legal business name:** TETON PHARMACY HOME HEALTH & HOSPICE
- **Authorized official:** MR. JASON M BAILEY (OWNER)
- **Authorized official phone:** (208) 529-3636

## Contact information

- **Practice address:** 2470 JAFER CT., IDAHO FALLS, ID 83404
- **Practice address phone:** (208) 529-3636
- **Practice address fax:** (208) 529-1715
- **Mailing address:** 2470 JAFER CT., IDAHO FALLS, ID 83404
- **Mailing address phone:** (208) 529-3636
- **Mailing address fax:** (208) 529-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH-183 | ID | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 04/05/2013