NPI 1750068169

Centralia Pharmacy Group INC

Organisation Long Term Care Pharmacy Chehalis, WA

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/Owner
Phone: (360) 262-4211

Registered specialties

Long Term Care Pharmacy Primary

Suppliers Taxonomy 3336L0003X

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Registry record

NPI: 1750068169
Entity type: Organization
NPI issued: 28 Jun 2023
Record last updated: 28 Jun 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.