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

Peninsula Pharmacies Inc Long Beach Pharmacy Annex

Organization Community/Retail Pharmacy · NPI 1063048197

Peninsula Pharmacies Inc Long Beach Pharmacy Annex is a Community/Retail Pharmacy in Long Beach, Washington. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

110 Oregon Ave S
Long Beach, WA 98631
Phone: (360) 642-1250
Fax: (888) 308-2878
Show map & directions

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

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1063048197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPeninsula Pharmacies Inc
Authorized official Jeffrey Harrell — President · (360) 859-8659
Other names Peninsula Compounding
NPI enumeratedMarch 20, 2020
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing addressPo Box B, Ilwaco, WA 98624-0167