| NPI | 1396802773 |
|---|---|
| Doing Business As | TETON PHARMACY HOME HEALTH & HOSPICE |
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN BAILEY Office Manager 208-529-3636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: ID 2226CP) |
| Additional Taxonomies | 251F00000X Home Infusion |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-04-05 |