Teton County Hospital District
Institutional Pharmacy
625 E Broadway Ave, Jackson
Wyoming, 83001-8642
307-739-6172 307-739-7698
Teton County Hospital District is not a DME supplier for medicare equipments and products.
Teton County Hospital District is a Institutional Pharmacy in Jackson, Wyoming. This organization is also known as sub part of Teton County Hospital District. It is located at 625 E Broadway Ave, Jackson and it's customer support contact number is 307-739-6172. The authorized person of Teton County Hospital District is Alisa Jean Lane who is Director Of Finance of the pharmacy and his contact number is 307-739-7641. Active license number of Teton County Hospital District is 5201102 for Institutional Pharmacy in Wyoming.
Teton County Hospital District is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Teton County Hospital District type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Teton County Hospital District |
| Type: | Institutional Pharmacy |
| Location: | 625 E Broadway Ave, Jackson, Wyoming, 83001-8642 |
| Phone: | 307-739-6172 |
| Fax: | 307-739-7698 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Alisa Jean Lane |
| Position: | Director Of Finance |
| Contact Number: | 307-739-7641 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1972657179 |
| Parent Organization: | Teton County Hospital District |
| NPI Enumeration Date: | 23 Jan, 2007 |
| NPI Last Update On: | 19 Dec, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Teton County Hospital District are as mentioned below.
| Specialization | License Number | State | Status | |
| Institutional Pharmacy | 5201102 | Wyoming | Primary | |
| Long Term Care Pharmacy | 5201102 | Wyoming | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 106299907 | Medicaid | Wyoming | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 428, Jackson, Wyoming |
| Zip: | 83001-0428 |
| Phone Number: | 307-739-6172 |
| Fax Number: | 307-739-7698 |
Patients can reach Teton County Hospital District at
625 E Broadway Ave, Jackson, Wyoming or can
call on customer care at 307-739-6172.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.