Organization
PENINSULA PHARMACIES INC.
Active
Organization
PENINSULA PHARMACIES INC.
Active
Other names
Ilwaco Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL (PRESIDENT)
(360) 642-3133
Entity
Organization
Contact information
Practice address
101 1ST AVE S, ILWACO, WA 98624-9100
(360) 642-3133
(360) 642-5133
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(360) 642-3133
(360) 642-5133
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
12/16/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up