Long Beach Pharmacy

LBN: Peninsula Pharmacies Inc
Long Beach Pharmacy is an health care organization with primary practice located at 101 Bolstad Ave , Long Beach WA 98631. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Peninsula Pharmacies Inc can be contacted via phone (360) 642-2349, or through Harrell, Jeffrey Shane via phone (360) 244-5984.

Contact Information

Primary practice address
101 Bolstad Ave Long Beach WA 98631
Phone: (360) 642-2349
Fax: (360) 642-8786
Website:
Map and Directions
Authorized official contact:
Name: Harrell, Jeffrey Shane
Phone: (360) 244-5984

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X CF00000497 Washington

Profile Details

NPI number 1275615106
LBN Legal business name Peninsula Pharmacies Inc
DBA Doing business as Long Beach Pharmacy
Authorized official Harrell, Jeffrey Shane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated May 12th, 2022 - about 4 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 1275615106 NPPES
Washington MEDICAID 6085609

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