Organization
CENTRALIA PHARMACY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
417 S TOWER AVE, CENTRALIA, WA 98531-3917
(360) 736-5000
(360) 736-9433
Mailing address
PO BOX B, ILWACO, WA 98624-0167
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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