White Cross Pharmacy Ltc

LBN: Deblaquiere Enterprises, Inc.
White Cross Pharmacy Ltc is an health care organization with primary practice located at 1319 Hwy 2 Suite A, Sandpoint ID 83864. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Deblaquiere Enterprises, Inc. can be contacted via phone (208) 263-9080, or through De Blaquiere, Richard Allan via phone (208) 610-0752.

Contact Information

Primary practice address
1319 Hwy 2 Suite A Sandpoint ID 83864
Phone: (208) 263-9080
Fax: (208) 255-1695
Website:
Map and Directions
Authorized official contact:
Name: De Blaquiere, Richard Allan PHARMD
Phone: (208) 610-0752

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1144842600
LBN Legal business name Deblaquiere Enterprises, Inc.
DBA Doing business as White Cross Pharmacy Ltc
Authorized official De Blaquiere, Richard Allan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2020
Last updated May 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144842600 NPPES
Idaho MEDICAID 807059400

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