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 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.
SpecializationLicense NumberStateStatus
Institutional Pharmacy 5201102WyomingPrimary
Long Term Care Pharmacy 5201102WyomingSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
106299907MedicaidWyoming
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.