The Broadway Pharmacy
LBN: Credena Health Llc
The Broadway Pharmacy is an health care organization with primary practice located at 500 W Broadway St , Missoula MT 59802-4008. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Credena Health Llc can be contacted via phone (406) 327-1650, or through Skafi, Mike via phone (575) 650-3396.
Contact Information
Primary practice address
500 W Broadway St
Missoula MT 59802-4008
Phone: (406) 327-1650
Fax: (406) 327-1651
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
NPI number | 1972613388 |
---|---|
LBN Legal business name | Credena Health Llc |
DBA Doing business as | The Broadway Pharmacy |
Authorized official | Skafi, Mike |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Dec 21st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972613388 | NPPES |
Montana | MEDICAID | 213187 |
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