| NPI | 1225190408 |
|---|---|
| Other Name | CREDENA HEALTH PHARMACY ST VINCENT |
| 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 | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-12-07 |