| NPI | 1063766632 |
|---|---|
| Doing Business As | CREDENA HEALTH PHARMACY COLVILLE |
| Entity Type | Organization |
| Authorized Contact | MIKE SKAFI A VP/Secretary 575-650-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2023-12-07 |