Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy Colville
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-7727
(509) 684-7711
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138921
PK
—
Enumeration date
11/05/2012
Last updated
12/07/2023
About Stedi
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