NPI | 1487711065 |
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Doing Business As | TETON PHARMACY HOME HEALTH & HOSPICE |
Entity Type | Organization |
Authorized Contact | JASON M BAILEY Owner 208-529-3636 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-01-02 |
Last Update Date | 2013-04-05 |