Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy Anchorage
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
3300 PROVIDENCE DR, STE 101, ANCHORAGE, AK 99508-4671
(907) 212-5090
(907) 212-5091
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202072
NCPDP
AK
Enumeration date
08/03/2005
Last updated
12/12/2023
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