White Cross Pharmacy Priest River

LBN: Deblaquiere Enterprises, Inc.
White Cross Pharmacy Priest River is an health care organization with primary practice located at 5453 Highway 2 , Priest River ID 83856. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Deblaquiere Enterprises, Inc. can be contacted via phone (208) 448-1633, or through Mcglashan, Shannon via phone (208) 448-1633.

Contact Information

Primary practice address
5453 Highway 2 Priest River ID 83856
Phone: (208) 448-1633
Fax: (208) 448-1728
Website:
Map and Directions
Authorized official contact:
Name: Mcglashan, Shannon
Phone: (208) 448-1633

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285621136
LBN Legal business name Deblaquiere Enterprises, Inc.
DBA Doing business as White Cross Pharmacy Priest River
Authorized official Mcglashan, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Mar 7th, 2023 - about 3 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 1285621136 NPPES
Idaho MEDICAID 002464600
Idaho MEDICAID 002464700

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