Palace Drug

LBN: Reams Palace Drug Inc
Palace Drug is an health care organization with primary practice located at 601 Main St , Canon City CO 81212-3736. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Reams Palace Drug Inc can be contacted via phone (719) 275-3375, or through Shelver, William Alan via phone (719) 275-3375.

Contact Information

Primary practice address
601 Main St Canon City CO 81212-3736
Fax: (719) 275-4756
Website:
Authorized official contact:
Name: Shelver, William Alan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1700340528
LBN Legal business name Reams Palace Drug Inc
DBA Doing business as Palace Drug
Authorized official Shelver, William Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2019
Last updated Mar 13th, 2020 - about 4 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 1700340528 NPPES
Colorado MEDICAID 03735081

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