Ocean Park Pharmacy

LBN: Peninsula Pharmacies Inc.
Ocean Park Pharmacy is an health care organization with primary practice located at 1501 Bay Ave , Ocean Park WA 98640-4203. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Peninsula Pharmacies Inc. can be contacted via phone (360) 665-5181, or through Harrell, Jeffrey Shane via phone (360) 665-5181.

Contact Information

Primary practice address
1501 Bay Ave Ocean Park WA 98640-4203
Fax: (360) 665-6264
Website:
Authorized official contact:
Name: Harrell, Jeffrey Shane PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X CF00002166 Washington

Profile Details

NPI number 1770665754
LBN Legal business name Peninsula Pharmacies Inc.
DBA Doing business as Ocean Park Pharmacy
Authorized official Harrell, Jeffrey Shane PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770665754 NPPES
Washington MEDICAID 6127401

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