| NPI | 1235243668 |
|---|---|
| Other Name | CREDENA HEALTH PHARMACY PPMC PLAZA |
| 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 |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-12-07 |