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Organization
MEDFORD PHARMACY GROUP LLC
Active
Organization
MEDFORD PHARMACY GROUP LLC
Active
Other names
West Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
12/19/2022
Last updated
03/03/2023
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