Organization
PENINSULA PHARMACIES INC.
Active
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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