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Organization
CROSS LTC PHARMACY, LLC
Active
Organization
CROSS LTC PHARMACY, LLC
Active
Other names
Cross Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE BUFFAT PHARMD. (DIRECTOR OF PHARMACY)
(208) 403-0084
Entity
Organization
Contact information
Practice address
4990 VALENTY RD, SUITE A1, CHUBBUCK, ID 83202-1883
(208) 403-0084
(208) 403-0361
Mailing address
PO BOX 2122, IDAHO FALLS, ID 83403-2122
(208) 403-0084
(208) 403-0361
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
33793LS
ID
Other
Enumeration date
11/04/2013
Last updated
12/09/2025
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