NPI 1548974645
Centralia Pharmacy Group, INC.
Practice location
- Address
- 422 S Market Blvd, Chehalis, WA 98532-3044
- Phone
- (360) 262-4211
- Fax
- (360) 996-1001
- Mailing address
- PO Box B, Ilwaco, WA 98624-0167
Authorised official
- Name
- Jeffrey Shane Harrell
- Title
- President
- Phone
- (360) 244-5984
Registered specialties (2)
Community/Retail Pharmacy
Primary
Pharmacy
Registry record
- NPI
- 1548974645
- Entity type
- Organization
- NPI issued
- 12 Jan 2023
- Record last updated
- 18 May 2023
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.