Credena Health Pharmacy Lakeshore

LBN: Credena Health Llc
Credena Health Pharmacy Lakeshore is an health care organization with primary practice located at 50331A Us Highway 93 , Polson MT 59860-7046. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Credena Health Llc can be contacted via phone (406) 883-0342, or through Skafi, Mike via phone (575) 650-3396.

Contact Information

Primary practice address
50331A Us Highway 93 Polson MT 59860-7046
Phone: (406) 883-0342
Fax: (406) 883-0469
Website:
Map and Directions
Authorized official contact:
Name: Skafi, Mike
Phone: (575) 650-3396

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1164809778
LBN Legal business name Credena Health Llc
DBA Doing business as Credena Health Pharmacy Lakeshore
Authorized official Skafi, Mike
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2015
Last updated Dec 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164809778 NPPES
Other 2151758 PK

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