| NPI | 1073687919 |
|---|---|
| Doing Business As | CREDENA HEALTH PHARMACY ST JOSEPH |
| 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 | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2023-12-07 |