Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy Everett
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/ SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-3555
(425) 261-3560
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108622
PK
—
Enumeration date
10/18/2005
Last updated
05/30/2024
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