Organization · Type 2 NPI

Teton Clinical Pharmacy, Inc.

Home Health Agency · Idaho Falls, ID

NPI number 1992862577 Active

Practice location

2470 Jafer Ct.
Idaho Falls, ID 83404

Fax (208) 529-1715

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
Home Health Agency Primary	251E00000X	HH-183 (ID)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

2 other providers at this address

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NPI record

NPI: 1992862577
Entity type: Organization (Type 2)
Issued: Jan 2, 2007
Last updated: Apr 5, 2013
Status: Active
Subpart: Yes of Teton Pharmacy Home Health & Hospice

Other names

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Teton Pharmacy Home Health & Hospice · doing business as

Authorized official

Mr. Jason M Bailey
Owner
(208) 529-3636

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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 1992862577

Teton Clinical Pharmacy, Inc.'s National Provider Identifier is 1992862577, issued on Jan 2, 2007. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 5, 2013.