Credena Health Pharmacy Tanasbourne

LBN: Credena Health Llc
Credena Health Pharmacy Tanasbourne is an health care organization with primary practice located at 10670 Ne Cornell Rd Ste 102 , Hillsboro OR 97124-9221. 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 (503) 216-9020, or through Skafi, Mike via phone (575) 650-3396.

Contact Information

Primary practice address
10670 Ne Cornell Rd Ste 102 Hillsboro OR 97124-9221
Phone: (503) 216-9020
Fax: (503) 216-9029
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 RP-0002694 Oregon

Profile Details

NPI number 1265708812
LBN Legal business name Credena Health Llc
DBA Doing business as Credena Health Pharmacy Tanasbourne
Authorized official Skafi, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2012
Last updated Dec 7th, 2023 - about 2 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 1265708812 NPPES
Other 3844253 NCPDP PROVIDER IDENTIFICATION NUMBER

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