NPI | 1588779136 |
---|---|
Doing Business As | PALACE DRUG |
Entity Type | Organization |
Authorized Contact | W A RALLS Owner 580-286-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 25-4396) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2021-07-20 |