Teton Pharmacy Of Rigby

LBN: Teton Pharmacy Of Rigby Llc
Teton Pharmacy Of Rigby is an health care organization with primary practice located at 527 Rigby Lake Dr Ste C , Rigby ID 83442-5117. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Teton Pharmacy Of Rigby Llc can be contacted via phone (208) 745-9450, or through Bailey, Jason via phone (208) 529-3636.

Contact Information

Primary practice address
527 Rigby Lake Dr Ste C Rigby ID 83442-5117
Phone: (208) 745-9450
Fax: (208) 745-9465
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Jason
Phone: (208) 529-3636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 44146RP Idaho

Profile Details

NPI number 1942747472
LBN Legal business name Teton Pharmacy Of Rigby Llc
DBA Doing business as Teton Pharmacy Of Rigby
Authorized official Bailey, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2017
Last updated Mar 6th, 2017 - about 9 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 1942747472 NPPES
Other 2166778 PK

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