Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teton Clinical Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1043629397

Teton Clinical Pharmacy, Inc is a Community/Retail Pharmacy in Idaho Falls, Idaho. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1855 W Broadway St
Idaho Falls, ID 83402-3043
Phone: (208) 529-3638
Fax: (208) 529-1715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1043629397
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTeton Clinical Pharmacy, Inc
Authorized official Philip Harper — Owner · (208) 360-1317
Other names Teton Pharmacy On Broadway; Teton Pharmacy On Broadway
NPI enumeratedAugust 11, 2014
Last updated in NPPESMay 3, 2019
Mailing address1855 W Broadway St, Idaho Falls, ID 83402-3043

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