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Contact Information

TETON CLINICAL PHARMACY, INC.
2470 JAFER CT.
IDAHO FALLS, ID83404
 Phone: 208-529-3636
 Fax: 208-529-1715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for TETON CLINICAL PHARMACY, INC.

NPI # 1992862577
LBN Legal business name TETON CLINICAL PHARMACY, INC.
Authorized official JASON BAILEY - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/02/2007
Last updated 04/05/2013 - About 13 years ago
Identifiers
ID License # HH-183
ID Medicaid 002551600
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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