Organization
MEDFORD PHARMACY GROUP LLC
Active
Other names
West Main Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S HARRELL PHARM D (OWNER)
(360) 244-5984
Entity
Organization
Contact information
Practice address
2355 W MAIN ST, MEDFORD, OR 97501
(541) 772-2330
(541) 772-4852
Mailing address
PO BOX B, ILWACO, WA 98624
(360) 642-3133
(360) 642-5133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP0000291CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146390
PK
—
Enumeration date
09/20/2006
Last updated
08/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us