Organization
PHS LLC
Active
Other names
SureCare Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF HARRELL PHARMD (MANAGING MEMBER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
3400 SE 196TH AVE STE 100, CAMAS, WA 98607-8862
(360) 244-5984
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(360) 642-3133
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHAR.CF.60446881
WA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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