| NPI | 1851462295 |
|---|---|
| Doing Business As | PALACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOLENE OSBACK Owner 307-332-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY R10054) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-08-30 |