Organization
PENINSULA PHARMACIES INC.
Active
Other names
Ocean Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SHANE HARRELL PHARMD (PHARMACIST OWNER)
(360) 665-5181
Entity
Organization
Contact information
Practice address
1501 BAY AVE, OCEAN PARK, WA 98640-4203
(360) 665-5181
(360) 665-6264
Mailing address
PO BOX 206, 1501 BAY AVE, OCEAN PARK, WA 98640-0206
(360) 665-5181
(360) 665-6264
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00002166
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6127401
—
WA
Enumeration date
10/19/2006
Last updated
06/27/2008
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