Organization · Type 2 NPI

Teton Pharmacy In Ammon

Community/Retail Pharmacy · Ammon, ID

NPI number 1831561034 Active

Practice location

3160 E 17th St Ste 164
Ammon, ID 83406-6784

Call (208) 529-1795 Map

Fax (208) 529-1838

Mailing address

2470 Jafer Ct
Idaho Falls, ID 83404-5587

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 …

5 other providers at this address

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NPI record

NPI: 1831561034
Entity type: Organization (Type 2)
Issued: Oct 27, 2015
Last updated: Apr 29, 2019
Status: Active
Subpart: Yes of Teton Clinical Pharmacy Inc

Other names

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Teton Pharmacy In Ammon · doing business as
Teton Pharmacy In Ammon · doing business as

Authorized official

Philip Harper, DMD
Owner
(208) 529-3638

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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 1831561034

Teton Pharmacy In Ammon's National Provider Identifier is 1831561034, issued on Oct 27, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ammon, ID. The record was last updated on Apr 29, 2019.