NPI 1043629397
Teton Clinical Pharmacy, INC.
Practice location
- Address
- 1855 W Broadway St, Idaho Falls, ID 83402-3043
- Phone
- (208) 529-3638
- Fax
- (208) 529-1715
Authorised official
- Name
- Philip Harper
- Title
- Owner
- Phone
- (208) 360-1317
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1043629397
- Entity type
- Organization
- NPI issued
- 11 Aug 2014
- Record last updated
- 3 May 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.