Palace Drug

LBN: Ralls Enterprises Inc
Palace Drug is an health care organization with primary practice located at 1200 Se Lincoln Rd , Idabel OK 74745-7358. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ralls Enterprises Inc can be contacted via phone (580) 286-2190, or through Ralls, W A via phone (580) 286-2190.

Contact Information

Primary practice address
1200 Se Lincoln Rd Idabel OK 74745-7358
Phone: (580) 286-2190
Fax: (580) 286-5260
Website:
Map and Directions
Authorized official contact:
Name: Ralls, W A
Phone: (580) 286-2190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 25-4396 Oklahoma

Profile Details

NPI number 1588779136
LBN Legal business name Ralls Enterprises Inc
DBA Doing business as Palace Drug
Authorized official Ralls, W A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588779136 NPPES
Other 2072937 PK
MEDICAID 100241680A PK

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