OrganizationActive
Credena Health LLC
NPI 1972613388 · Community/Retail Pharmacy · Missoula, MT
Provider details
- NPI number
- 1972613388
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Skafi, Avp Pharmacy(575) 650-3396
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Practice location
500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 327-1650
Fax: (406) 327-1651
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2704
Portland, OR 97208-2704
Other names (DBA / former)
- Doing business as
- Credena Health Pharmacy St. Patrick
- Former legal business name
- The Broadway Pharmacy
- Former legal business name
- The Broadway Pharmacy
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.