| NPI | 1316949910 |
|---|---|
| Doing Business As | TETON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASON BAILEY Owner 208-529-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 2226RP) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2016-07-13 |