Organization
MEDFORD PHARMACY GROUP LLC
Active
Other names
West Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501-2161
(541) 772-2330
(541) 772-4852
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
12/19/2022
Last updated
03/03/2023
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