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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