St. John'S Pharmacy

LBN: Teton County Hospital District
St. John'S Pharmacy is an health care organization with primary practice located at 555 E Broadway Ave Ste 212 , Jackson WY 83001-8640. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Teton County Hospital District can be contacted via phone (307) 739-7656, or through Lane, Alisa via phone (307) 739-7641.

Contact Information

Primary practice address
555 E Broadway Ave Ste 212 Jackson WY 83001-8640
Phone: (307) 739-7656
Fax: (307) 739-7658
Website:
Map and Directions
Authorized official contact:
Name: Lane, Alisa
Phone: (307) 739-7641

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X R10167 Wyoming

Profile Details

NPI number 1952823783
LBN Legal business name Teton County Hospital District
DBA Doing business as St. John'S Pharmacy
Authorized official Lane, Alisa
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 13th, 2017
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952823783 NPPES
Wyoming Other R10167 STATE LICENSE NUMBER

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