Organization · Type 2 NPI

Credena Health LLC

Community/Retail Pharmacy · Polson, MT

NPI number 1164809778 Active

Practice location

50331A US Highway 93
Polson, MT 59860-7046

Call (406) 883-0342 Map

Fax (406) 883-0469

Mailing address

PO Box 2704
Portland, OR 97208-2704

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1164809778
Entity type: Organization (Type 2)
Issued: May 4, 2015
Last updated: Oct 22, 2026
Status: Active

Other names

<unavail>
Credena Health Pharmacy Lakeshore · doing business as
Credena Health Pharmacy Lakeshore · doing business as

Authorized official

Adam Saulles
Senior Director Pharmacy
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164809778

Credena Health LLC's National Provider Identifier is 1164809778, issued on May 4, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Polson, MT. The record was last updated on Oct 22, 2026.