Organization · Type 2 NPI

Credena Health LLC

Community/Retail Pharmacy · Missoula, MT

NPI number 1972613388 Active

Practice location

500 W Broadway St
Missoula, MT 59802-4008

Call (406) 327-1650 Map

Fax (406) 327-1651

Mailing address

PO Box 2704
Portland, OR 97208-2704

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	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 …

222 other providers at this address

Other community/retail pharmacy providers in Missoula

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NPI record

NPI: 1972613388
Entity type: Organization (Type 2)
Issued: Aug 30, 2006
Last updated: Oct 22, 2026
Status: Active

Other names

<unavail>
Credena Health Pharmacy St. Patrick · doing business as
The Broadway Pharmacy · former legal business name
The Broadway Pharmacy · former legal business name

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 1972613388

Credena Health LLC's National Provider Identifier is 1972613388, issued on Aug 30, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Missoula, MT. The record was last updated on Oct 22, 2026.