Organization
CREDENA HEALTH LLC
Active
Other names
CREDENA HEALTH PHARMACY TARZANA
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD STE 104, TARZANA, CA 91356-2804
(818) 996-3600
(816) 996-8630
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
(818) 996-3600
(816) 996-8630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141723
PK
—
Enumeration date
06/23/2006
Last updated
12/21/2023
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