Teton Pharmacy In Ammon

LBN: Teton Pharmacy In Ammon
Teton Pharmacy In Ammon is an health care organization with primary practice located at 3160 E 17Th St Ste 164 , Ammon ID 83406-6784. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Teton Pharmacy In Ammon can be contacted via phone (208) 529-1795, or through Harper, Philip via phone (208) 529-3638.

Contact Information

Primary practice address
3160 E 17Th St Ste 164 Ammon ID 83406-6784
Phone: (208) 529-1795
Fax: (208) 529-1838
Website:
Map and Directions
Authorized official contact:
Name: Harper, Philip Doctor of Dental Medicine (DMD)
Phone: (208) 529-3638

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1831561034
LBN Legal business name Teton Pharmacy In Ammon
DBA Doing business as Teton Pharmacy In Ammon
Authorized official Harper, Philip Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2015
Last updated Apr 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831561034 NPPES
Idaho MEDICAID 1831561034
Idaho Other 2154929
Idaho MEDICAID 1043629397

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