| NPI | 1952048712 |
|---|---|
| Doing Business As | CREDENA HEALTH PHARMACY FULLERTON |
| 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 | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-03-16 |