| NPI | 1528851557 |
|---|---|
| Doing Business As | MODOC FAMILY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HARRELL President 360-244-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-09-02 |