Healthcare Provider Details

I. General information

NPI: 1588577639
Provider Name (Legal Business Name): QUARRELL RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PROFESSIONAL WAY
SHELTON WA
98584-4404
US

IV. Provider business mailing address

PO BOX B
ILWACO WA
98624-0167
US

V. Phone/Fax

Practice location:
  • Phone: 360-426-4272
  • Fax: 360-426-6977
Mailing address:
  • Phone: 360-426-4272
  • Fax: 360-426-6977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: JEFFREY HARRELL
Title or Position: PRESIDENT
Credential:
Phone: 360-426-4272