Peninsula Pharmacies Inc Long Beach Pharmacy Annex
Compounding Pharmacy
110 Oregon Ave S, Long Beach
Washington, 98631
360-642-1250 888-308-2878
Peninsula Pharmacies Inc Long Beach Pharmacy Annex is not a DME supplier for medicare equipments and products.
Peninsula Pharmacies Inc Long Beach Pharmacy Annex is a Compounding Pharmacy in Long Beach, Washington. This organization is also known as sub part of Peninsula Pharmacies Inc.. It is located at 110 Oregon Ave S, Long Beach and it's customer support contact number is 360-642-1250. The authorized person of Peninsula Pharmacies Inc Long Beach Pharmacy Annex is Jeffrey Shane Harrell, PHARM D who is President of the pharmacy and his contact number is 360-244-5984.
Peninsula Pharmacies Inc Long Beach Pharmacy Annex is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Peninsula Pharmacies Inc Long Beach Pharmacy Annex 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: | Peninsula Pharmacies Inc Long Beach Pharmacy Annex |
| Type: | Compounding Pharmacy |
| Location: | 110 Oregon Ave S, Long Beach, Washington, 98631 |
| Phone: | 360-642-1250 |
| Fax: | 888-308-2878 |
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: | Jeffrey Shane Harrell |
| Credentials: | PHARM D |
| 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: | 1063048197 |
| Parent Organization: | Peninsula Pharmacies Inc. |
| NPI Enumeration Date: | 20 Mar, 2020 |
| NPI Last Update On: | 20 Mar, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Peninsula Pharmacies Inc Long Beach Pharmacy Annex are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | | | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
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: | 360-642-1250 |
Patients can reach Peninsula Pharmacies Inc Long Beach Pharmacy Annex at
110 Oregon Ave S, Long Beach, Washington or can
call on customer care at 360-642-1250.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.