Provider Type Icon

CENTRALIA PHARMACY GROUP INC. NPI 1720672421


NPI Information

NPI: 1720672421
Provider Name: CENTRALIA PHARMACY GROUP, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 50D2219253

Address:
417 S TOWER AVE
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-5000
Get Directions

CENTRALIA PHARMACY GROUP, INC. is a long term care pharmacy pharmacy in Centralia, WA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CENTRALIA PHARMACY GROUP, INC. NPI is 1720672421. The provider is registered as an organization entity type.

The provider's business location address is:

417 S TOWER AVE
CENTRALIA, WA
ZIP 98531-917
Phone: (360) 736-5000
Fax: (360) 736-9433

The provider's authorized official is Jeffrey Shane Harrell .
The authorized official title is Owner and has the following contact phone number (360) 244-5984.

The CLIA number assigned to this NPI record is 50D2219253 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.