DEBLAQUIERE ENTERPRISES INC NPI 1477973832

NPI Details

DEBLAQUIERE ENTERPRISES INC is a community/retail pharmacy pharmacy in Spirit Lake, ID. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DEBLAQUIERE ENTERPRISES INC NPI is 1477973832. The provider is registered as an organization entity type.
The provider Is Doing Business As White Cross Pharmacy - Spirit Lake.

The provider's business location address is:

31964 N 5TH AVE
SPIRIT LAKE, ID
ZIP 83869
Phone: (208) 623-8485
Fax: (208) 623-3400

The provider's authorized official is Richard Allan De Blaquiere .
The authorized official title is President and has the following contact phone number (208) 610-0752.

The CLIA number assigned to this NPI record is 13D2080861 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 4/23/2014 and was last updated on 4/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.