White Cross Pharmacy - Spirit Lake

LBN: Deblaquiere Enterprises Inc
White Cross Pharmacy - Spirit Lake is an health care organization with primary practice located at 31964 N 5Th Ave , Spirit Lake ID 83869. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Deblaquiere Enterprises Inc can be contacted via phone (208) 623-8485, or through De Blaquiere, Richard Allan via phone (208) 610-0752.

Contact Information

Primary practice address
31964 N 5Th Ave Spirit Lake ID 83869
Phone: (208) 623-8485
Fax: (208) 623-3400
Website:
Map and Directions
Authorized official contact:
Name: De Blaquiere, Richard Allan PHARMD
Phone: (208) 610-0752

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1477973832
LBN Legal business name Deblaquiere Enterprises Inc
DBA Doing business as White Cross Pharmacy - Spirit Lake
Authorized official De Blaquiere, Richard Allan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2014
Last updated Apr 17th, 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 1477973832 NPPES
Idaho MEDICAID 1477973832

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