Teton Pharmacy in Ammon

NPI #1831561034 in Ammon, Idaho

Provider Information

NPI Number
1831561034
Entity Type
Organization
Organization Name
Teton Pharmacy in Ammon
Subpart
Yes (part of a larger organization)
Parent Organization
TETON CLINICAL PHARMACY INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 27, 2015
Last Updated
Apr 29, 2019

Practice Location

Address
3160 E 17TH ST STE 164
City
Ammon
State
Idaho
ZIP Code
83406-6784
Phone
(208) 529-1795

Authorized Official

Name
PHILIP HARPER, DMD
Title
OWNER
Phone
(208) 529-3638

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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