| NPI | 1144842600 |
|---|---|
| Doing Business As | WHITE CROSS PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLAN DE BLAQUIERE President 208-610-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |