Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy St Joseph
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-8444
(406) 883-8255
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2702048
NAPB NUMBER
MT
Enumeration date
11/20/2006
Last updated
12/07/2023
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