Organization
BOB JOHNSONS PHARMACY
Active
Organization
BOB JOHNSONS PHARMACY
Active
Other names
BOB JOHNSONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SHANE HARRELL PHARMD (OWNER)
(360) 859-8659
Entity
Organization
Contact information
Practice address
1407 NW 85TH ST, SEATTLE, WA 98117-4237
(206) 782-5822
(206) 781-0379
Mailing address
PO BOX B, ILWACO, WA 98624-0167
(206) 782-5822
(206) 781-0379
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
CF00003305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2108490
PK
—
05
—
6030654
—
WA
Enumeration date
08/10/2006
Last updated
06/10/2026
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