Organization
TETON CLINICAL PHARMACY, INC.
Active
Parent organization
TETON CLINICAL PHARMACY, INC.
Other names
Teton Pharmacy On Broadway
Organization subpart
Yes
Provider details
NPI number
Legal business name
TETON CLINICAL PHARMACY, INC.
Authorized official
DR. PHILIP HARPER DMD (OWNER)
(208) 360-1317
Entity
Organization
Contact information
Practice address
1855 W BROADWAY ST, IDAHO FALLS, ID 83402-3043
(208) 529-3638
(208) 529-1715
Mailing address
1855 W BROADWAY ST, IDAHO FALLS, ID 83402-3043
(208) 529-3638
(208) 529-1715
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
05/03/2019
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