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Contact Information

TETON CLINICAL PHARMACY INC
2470 JAFER CT
IDAHO FALLS, ID83404-5587
 Phone: 208-529-3636
 Fax: 208-528-6562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TETON CLINICAL PHARMACY INC

NPI Number 1316949910
LBN Legal business name TETON CLINICAL PHARMACY INC
Authorized official JASON BAILEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2005
Last updated 07/13/2016 - About 10 years ago
Identifiers
ID License # 2226RP
ID Medicaid 002551700
ID Medicaid 1043629397
Other 2020627 PK
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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