| NPI | 1912148362 |
|---|---|
| Doing Business As | PALACE SAV-REX #638 |
| Entity Type | Organization |
| Authorized Contact | MODENA STARR CANNON Operations Manager 228-769-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: 05009/01.2) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |