Cross Ltc Pharmacy, Llc
Long Term Care Pharmacy
4990 Valenty Rd, Suite A1, Chubbuck
Idaho, 83202-1883
208-403-0084 208-403-0361
Cross Ltc Pharmacy, Llc is a Long Term Care Pharmacy in Chubbuck, Idaho. It is located at 4990 Valenty Rd, Suite A1, Chubbuck and it's customer support contact number is 208-403-0084. The authorized person of Cross Ltc Pharmacy, Llc is Mr. Blake Buffat, PHARMD. who is Director Of Pharmacy of the pharmacy and his contact number is 208-403-0084. Active license number of Cross Ltc Pharmacy, Llc is 33793LS for Long Term Care Pharmacy in Idaho. Cross Ltc Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Cross Ltc Pharmacy, Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Cross Ltc Pharmacy, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Cross Ltc Pharmacy, Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 4990 Valenty Rd, Suite A1, Chubbuck,
Idaho, 83202-1883 |
| Phone: | 208-403-0084 |
| Fax: | 208-403-0361 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Blake Buffat |
| Credentials: | PHARMD. |
| Position: | Director Of Pharmacy |
| Contact Number: | 208-403-0084 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1619306214 |
| NPI Enumeration Date: | 04 Nov, 2013 |
| NPI Last Update On: | 06 Mar, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cross Ltc Pharmacy, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 33793LS | Idaho | Primary | |
Medicare Enrollment:
Cross Ltc Pharmacy, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193042786 | O20150318002788 | Cross Ltc Pharmacy Llc | PART B SUPPLIER - PUBLIC HEALTH/WELFARE AGENCY |
| 5193042786 | O20160121000900 | Cross Ltc Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 5193042786 | O20160329002728 | Cross Ltc Pharmacy Llc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2122,
Idaho Falls, Idaho |
| Zip: | 83403-2122 |
| Phone Number: | 208-403-0084 |
| Fax Number: | 208-403-0361 |
Patients can reach Cross Ltc Pharmacy, Llc at
4990 Valenty Rd, Suite A1, Chubbuck, Idaho or can
call on customer care at 208-403-0084.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.