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Organization
MODOC FAMILY PHARMACY INC
Active
Organization
MODOC FAMILY PHARMACY INC
Active
Other names
Modoc Family Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HARRELL PHARMD (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
432 N MAIN ST, ALTURAS, CA 96101-3458
(530) 233-3113
(530) 233-3140
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
09/02/2025
Last updated
12/20/2025
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