OrganizationActive
Credena Health LLC
NPI 1164809778 · Community/Retail Pharmacy · Polson, MT
Provider details
- NPI number
- 1164809778
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Skafi, Avp/Secretary(575) 650-3396
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Practice location
50331a US Highway 93
Polson, MT 59860-7046
Phone: (406) 883-0342
Fax: (406) 883-0469
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2704
Portland, OR 97208-2704
Other names (DBA / former)
- Doing business as
- Credena Health Pharmacy Lakeshore
- Doing business as
- Credena Health Pharmacy Lakeshore
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2023-12-07
- Certified
- 2023-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.