Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy Orange
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE, ORANGE, CA 92868-4225
(714) 744-8724
(714) 744-8676
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/08/2005
Last updated
07/25/2024
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