Whalio Doctors

NPI 1043629397

Teton Clinical Pharmacy, INC.

Organisation Community/Retail Pharmacy Idaho Falls, ID

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
Suppliers Taxonomy 3336C0003X

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.