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Organization
CREDENA HEALTH LLC
Active
Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy St Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
9155 SW BARNES RD STE 102, PORTLAND, OR 97225-6625
(503) 216-2630
(503) 216-2637
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/14/2006
Last updated
12/07/2023
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