Teton Pharmacy On Broadway

LBN: Teton Clinical Pharmacy, Inc.
Teton Pharmacy On Broadway is an health care organization with primary practice located at 1855 W Broadway St , Idaho Falls ID 83402-3043. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Teton Clinical Pharmacy, Inc. can be contacted via phone (208) 529-3638, or through Harper, Philip via phone (208) 360-1317.

Contact Information

Primary practice address
1855 W Broadway St Idaho Falls ID 83402-3043
Phone: (208) 529-3638
Fax: (208) 529-1715
Website:
Map and Directions
Authorized official contact:
Name: Harper, Philip Doctor of Dental Medicine (DMD)
Phone: (208) 360-1317

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1043629397
LBN Legal business name Teton Clinical Pharmacy, Inc.
DBA Doing business as Teton Pharmacy On Broadway
Authorized official Harper, Philip Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 11th, 2014
Last updated May 3rd, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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