Organization · Type 2 NPI

Teton County Hospital District

Community/Retail Pharmacy · Jackson, WY

NPI number 1952823783 Active

Practice location

555 E Broadway Ave Ste 212
Jackson, WY 83001-8640

Call (307) 739-7656 Map

Fax (307) 739-7658

Mailing address

PO Box 428
Jackson, WY 83001-0428

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	R10167 (WY)

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 …

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NPI record

NPI: 1952823783
Entity type: Organization (Type 2)
Issued: Jul 13, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Teton County Hospital District

Other names

<unavail>
St. John's Pharmacy · doing business as
St. John's Pharmacy · doing business as

Authorized official

Alisa Lane
Director of Finance
(307) 739-7641

Verify this record

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 1952823783

Teton County Hospital District's National Provider Identifier is 1952823783, issued on Jul 13, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jackson, WY. The record was last updated on Jul 21, 2022.