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
MR. JASON M BAILEY (OWNER)
(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
251E00000X
Home Health Agency
Primary
HH-183
ID
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002551600
—
ID
Enumeration date
01/02/2007
Last updated
04/05/2013
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