Organization
CENTRALIA PHARMACY GROUP, INC.
Active
Organization
CENTRALIA PHARMACY GROUP, INC.
Active
Other names
Chehalis Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (PRESIDENT)
(360) 244-5984
Entity
Organization
Contact information
Practice address
422 S MARKET BLVD, CHEHALIS, WA 98532-3044
(360) 262-4211
(360) 996-1001
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
01/12/2023
Last updated
05/18/2023
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