All Medicaid billing entities listing BUFFAT, BLAKE (DIRECTOR OF PHARMACY) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $22K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CROSS LTC PHARMACY, LLC | CHUBBUCK, ID | Long Term Care Pharmacy | $22K |