| NPI | 1700340528 |
|---|---|
| Doing Business As | PALACE DRUG |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALAN SHELVER CEO 719-275-3375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-03-13 |