Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Drug Store Inc

Organization Long Term Care Pharmacy · NPI 1124847074

Central Drug Store Inc is a Long Term Care Pharmacy in Medford, Oregon. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2924 Siskiyou Blvd Ste 102
Medford, OR 97504-8194
Phone: (541) 773-5356
Fax: (541) 770-2999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1124847074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Harrell — Owner · (360) 859-8659
Other names Black Oak Pharmacy Ltc
NPI enumeratedOctober 8, 2024
Last updated in NPPESDecember 20, 2025
Certification dateDecember 20, 2025
Mailing addressPo Box B, Ilwaco, WA 98624-0167

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