| NPI | 1831561034 |
|---|---|
| Doing Business As | TETON PHARMACY IN AMMON |
| Entity Type | Organization |
| Authorized Contact | PHILIP HARPER Owner 208-529-3638 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2019-04-29 |