Organization
CHINOOK PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
11 S FORKS AVE, FORKS, WA 98331-9006
(360) 374-2294
(360) 374-5057
Mailing address
PO BOX 2136, FORKS, WA 98331-2136
(360) 374-2294
(360) 374-5057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CF00058860
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16470
LABOR & INDUSTRIES
WA
05
—
6090203
—
WA
05
—
9045162
—
WA
Enumeration date
08/02/2006
Last updated
12/20/2025
Update your record
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