NPI | 1942747472 |
---|---|
Doing Business As | TETON PHARMACY OF RIGBY |
Entity Type | Organization |
Authorized Contact | JASON BAILEY Owner 208-529-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 44146RP) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2017-01-23 |
Last Update Date | 2017-03-06 |