NPI 1952823783 · live from the CMS NPI Registry
Teton County Hospital District
Pharmacy, Community/Retail Pharmacy in Jackson, WY. National Provider Identifier 1952823783, active.
NPI record
| NPI | 1952823783 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 555 E Broadway Ave Ste 212, Jackson, WY 83001 |
| Practice phone | 307-739-7656 |
| Mailing address | Po Box 428, Jackson, WY 83001 |
| Enumerated | July 13, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Alisa Lane, Director Of Finance |
| Other names | St. John'S Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | R10167 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.