| NPI | 1518042936 |
|---|---|
| Doing Business As | PALACE DRUG |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SHELVER CEO 719-275-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO 170000004) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-08-01 |