Organization
TETON CLINICAL PHARMACY, INC.
Active
Parent organization
TETON PHARMACY HOME HEALTH & HOSPICE
Other names
Teton Pharmacy Home Health & Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
TETON PHARMACY HOME HEALTH & HOSPICE
Authorized official
MS. PAMELA ANN BAILEY (OFFICE MANAGER)
(208) 529-3636
Entity
Organization
Contact information
Practice address
2470 JAFER CT., IDAHO FALLS, ID 83404
(208) 529-3636
(208) 529-1715
Mailing address
2470 JAFER CT., IDAHO FALLS, ID 83404
(208) 529-3636
(208) 529-1715
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
2226CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002551700
—
ID
05
—
002551800
—
ID
Enumeration date
01/03/2007
Last updated
04/05/2013
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