Organization
DAHISSE INC
Active
Other names
Myrtle Drugs LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL (OWNER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
821 S MAIN ST, MYRTLE CREEK, OR 97457-9334
(541) 391-8321
(541) 391-8381
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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