Organization
PENINSULA PHARMACIES INC LONG BEACH PHARMACY ANNEX
Active
Parent organization
PENINSULA PHARMACIES INC.
Other names
Peninsula Compounding
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENINSULA PHARMACIES INC.
Authorized official
JEFFREY SHANE HARRELL PHARM D (PRESIDENT)
(360) 859-8659
Entity
Organization
Contact information
Practice address
110 OREGON AVE S, LONG BEACH, WA 98631
(360) 642-1250
(888) 308-2878
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(360) 642-1250
(888) 308-2878
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
01/19/2026
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