Peninsula Pharmacies Inc.
NPI #1104423870 in Ilwaco, Washington
Provider Information
- NPI Number
- 1104423870
- Entity Type
- Organization
- Organization Name
- Peninsula Pharmacies Inc.
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 101 1ST AVE S
- City
- Ilwaco
- State
- Washington
- ZIP Code
- 98624-9100
- Phone
- (360) 642-3133
Authorized Official
- Name
- JEFFREY SHANE HARRELL
- Title
- PRESIDENT
- Phone
- (360) 642-3133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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