| NPI | 1588544563 |
|---|---|
| Doing Business As | MODOC FAMILY PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY HARRELL Owner 360-244-5984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |