Peninsula Pharmacies INC Long Beach Pharmacy Annex
NPI #1063048197 in Long Beach, Washington
Provider Information
- NPI Number
- 1063048197
- Entity Type
- Organization
- Organization Name
- Peninsula Pharmacies INC Long Beach Pharmacy Annex
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENINSULA PHARMACIES INC.
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 20, 2020
- Last Updated
- Jan 19, 2026
Practice Location
- Address
- 110 OREGON AVE S
- City
- Long Beach
- State
- Washington
- ZIP Code
- 98631
- Phone
- (360) 642-1250
Authorized Official
- Name
- JEFFREY SHANE HARRELL, PHARM D
- Title
- PRESIDENT
- Phone
- (360) 859-8659
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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