Centralia Pharmacy Group, Inc.
Community/Retail Pharmacy
417 S Tower Ave, Centralia
Washington, 98531-3917
360-736-5000 360-736-9433
Centralia Pharmacy Group, Inc. is a Community/Retail Pharmacy in Centralia, Washington. It is located at 417 S Tower Ave, Centralia and it's customer support contact number is 360-736-5000. The authorized person of Centralia Pharmacy Group, Inc. is Jeff Harrell, PHARMD who is President of the pharmacy and his contact number is 360-244-5984. Centralia Pharmacy Group, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Centralia Pharmacy Group, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Centralia Pharmacy Group, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Centralia Pharmacy Group, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 417 S Tower Ave, Centralia,
Washington, 98531-3917 |
| Phone: | 360-736-5000 |
| Fax: | 360-736-9433 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeff Harrell |
| Credentials: | PHARMD |
| Position: | President |
| Contact Number: | 360-244-5984 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1336686039 |
| NPI Enumeration Date: | 19 Jan, 2017 |
| NPI Last Update On: | 31 Mar, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Centralia Pharmacy Group, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2077225 | Medicaid | Washington | |
| G8965128 | Other | Washington | Ptan |
Medicare Enrollment:
Centralia Pharmacy Group, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8022395888 | O20170503001716 | Centralia Pharmacy Group, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box B,
Ilwaco, Washington |
| Zip: | 98624-0167 |
| Phone Number: | 360-244-5984 |
| Fax Number: | 888-788-5384 |
Patients can reach Centralia Pharmacy Group, Inc. at
417 S Tower Ave, Centralia, Washington or can
call on customer care at 360-736-5000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.