White Cross Pharmacy

LBN: Deblaquiere Enterprises Inc
White Cross Pharmacy is an health care organization with primary practice located at 1319 Highway 2 Ste A , Sandpoint ID 83864-2729. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Deblaquiere Enterprises Inc can be contacted via phone (208) 263-9080, or through Mcglashan, Shannon via phone (208) 448-1633.

Contact Information

Primary practice address
1319 Highway 2 Ste A Sandpoint ID 83864-2729
Phone: (208) 263-9080
Fax: (208) 255-1695
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1786RP Idaho
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1891783668
LBN Legal business name Deblaquiere Enterprises Inc
DBA Doing business as White Cross Pharmacy
Authorized official Mcglashan, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2005
Last updated Dec 4th, 2019 - about 7 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 1891783668 NPPES
Idaho MEDICAID 807059400
Idaho MEDICAID 002464700
Idaho Other 2021876

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