# CREDENA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Credena Health Pharmacy Anchorage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760483556
- **Authorized official:** MIKE SKAFI (AVP/SECRETARY)
- **Authorized official phone:** (575) 650-3396

## Contact information

- **Practice address:** 3300 PROVIDENCE DR, STE 101, ANCHORAGE, AK 99508-4671
- **Practice address phone:** (907) 212-5090
- **Practice address fax:** (907) 212-5091
- **Mailing address:** PO BOX 2704, PORTLAND, OR 97208-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |
| 333600000X | Pharmacy | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 12/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0202072 | NCPDP | AK |