NPI | 1205811601 |
---|---|
Doing Business As | CREDENA HEALTH PHARMACY ORANGE |
Entity Type | Organization |
Authorized Contact | MIKE SKAFI A VP/Secretary 575-650-3396 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2005-12-08 |
Last Update Date | 2024-07-25 |