Organization
TETON PHARMACY IN AMMON
Active
Parent organization
TETON CLINICAL PHARMACY INC
Other names
Teton Pharmacy in Ammon
Organization subpart
Yes
Provider details
NPI number
Legal business name
TETON CLINICAL PHARMACY INC
Authorized official
PHILIP HARPER DMD (OWNER)
(208) 529-3638
Entity
Organization
Contact information
Practice address
3160 E 17TH ST STE 164, AMMON, ID 83406-6784
(208) 529-1795
(208) 529-1838
Mailing address
2470 JAFER CT, IDAHO FALLS, ID 83404-5587
(208) 529-3636
(208) 529-1715
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043629397
—
ID
05
—
1831561034
—
ID
01
—
2154929
PK
—
Enumeration date
10/27/2015
Last updated
04/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us