NPI | 1265708812 |
---|---|
Doing Business As | CREDENA HEALTH PHARMACY TANASBOURNE |
Entity Type | Organization |
Authorized Contact | MIKE SKAFI A VP/Secretary 575-650-3396 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0002694) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2012-03-28 |
Last Update Date | 2023-12-07 |