Organization · Type 2 NPI

Teton Clinical Pharmacy, Inc.

Community/Retail Pharmacy · Idaho Falls, ID

NPI number 1043629397 Active

Practice location

1855 W Broadway St
Idaho Falls, ID 83402-3043

Fax (208) 529-1715

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

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NPI record

NPI: 1043629397
Entity type: Organization (Type 2)
Issued: Aug 11, 2014
Last updated: May 3, 2019
Status: Active
Subpart: Yes of Teton Clinical Pharmacy, Inc.

Other names

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Teton Pharmacy On Broadway · doing business as
Teton Pharmacy On Broadway · doing business as

Authorized official

Dr. Philip Harper, DMD
Owner
(208) 360-1317

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043629397

Teton Clinical Pharmacy, Inc.'s National Provider Identifier is 1043629397, issued on Aug 11, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Idaho Falls, ID. The record was last updated on May 3, 2019.