NPI 1366379372
Medford Pharmacy Group LLC
Practice location
- Address
- 7591 Crater Lake Hwy # a, White City, OR 97503-1663
- Phone
- (541) 826-4414
- Fax
- (541) 826-8366
- Mailing address
- PO Box B, Ilwaco, WA 98624-0167
Authorised official
- Name
- Jeffrey Shane Harrell
- Title
- Owner
- Phone
- (360) 859-8659
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1366379372
- Entity type
- Organization
- NPI issued
- 5 May 2026
- Record last updated
- 5 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.