Organization
PENINSULA PHARMACIES INC
Active
Other names
Long Beach Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL (PRESIDENT)
(360) 244-5984
Entity
Organization
Contact information
Practice address
101 BOLSTAD AVE, LONG BEACH, WA 98631
(360) 642-2349
(360) 642-8786
Mailing address
PO BOX 187, 101 BOLSTAD AVE, LONG BEACH, WA 98631
(360) 642-2349
(360) 642-8786
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00000497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6085609
—
WA
Enumeration date
10/19/2006
Last updated
05/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us