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Organization

CHINOOK PHARMACY INC

Active
Other names
Chinook Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 859-8659
Entity
Organization

Contact information

Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
(360) 374-5057
Mailing address
PO BOX 2136, FORKS, WA 98331-2136
(360) 374-2294
(360) 374-5057

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00058860
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16470
LABOR AND INDUSTRIES
WA
05
6090203
WA
05
9045162
WA
Enumeration date
07/20/2006
Last updated
12/20/2025
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