| NPI | 1013906528 |
|---|---|
| Doing Business As | CREDENA HEALTH PHARMACY EVERETT |
| Entity Type | Organization |
| Authorized Contact | MIKE SKAFI A VP/ Secretary 575-650-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2024-05-30 |