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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