Teton Clinical Pharmacy, Inc.
NPI #1043629397 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043629397
- Entity Type
- Organization
- Organization Name
- Teton Clinical Pharmacy, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TETON CLINICAL PHARMACY, INC.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 11, 2014
- Last Updated
- May 3, 2019
Practice Location
- Address
- 1855 W BROADWAY ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3043
- Phone
- (208) 529-3638
Authorized Official
- Name
- DR. PHILIP HARPER, DMD
- Title
- OWNER
- Phone
- (208) 360-1317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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