Organization
TIM'S PHARMACY & GIFT SHOP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 458-8467
Entity
Organization
Contact information
Practice address
106 1ST ST S, YELM, WA 98597-7700
(360) 458-8467
(360) 206-5157
Mailing address
PO BOX 5120, YELM, WA 98597-5120
(360) 458-8467
(360) 206-5157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
CF00002080
WA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4910522
NCPDP
WA
05
—
6103204
—
WA
Enumeration date
08/23/2005
Last updated
11/16/2022
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