Central Drug Store Inc.

LBN: Central Drug Store Inc.
Central Drug Store Inc. is an health care organization with primary practice located at 2924 Siskiyou Blvd Ste 102 , Medford OR 97504-8194. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Central Drug Store Inc. can be contacted via phone (541) 773-5356, or through Harrell, Jeffrey Shane via phone (360) 859-8659.

Contact Information

Primary practice address
2924 Siskiyou Blvd Ste 102 Medford OR 97504-8194
Fax: (541) 770-2999
Website:
Authorized official contact:
Name: Harrell, Jeffrey Shane PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1124847074
LBN Legal business name Central Drug Store Inc.
DBA Doing business as
Authorized official Harrell, Jeffrey Shane PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2024
Last updated Dec 20th, 2025 - about last year

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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