Organization
MEDFORD PHARMACY GROUP LLC
Active
Other names
White City Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
7591 CRATER LAKE HWY # A, WHITE CITY, OR 97503-1663
(541) 826-4414
(541) 826-8366
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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