Organization
CENTRALIA PHARMACY GROUP INC
Active
Organization
CENTRALIA PHARMACY GROUP INC
Active
Other names
Chehalis Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (PRESIDENT/OWNER)
(360) 262-4211
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
(360) 262-4211
(360) 996-1001
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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