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Organization
PALACE PHARMACY
Active
Organization
PALACE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LC LEE PHARM D. (PHARMACIST)
(415) 467-5232
Entity
Organization
Contact information
Practice address
2800 GENEVA AVE, DALY CITY, CA 94014-1523
(415) 467-5232
(415) 467-5234
Mailing address
2800 GENEVA AVE, DALY CITY, CA 94014-1523
(415) 467-5232
(415) 467-5234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0531219
NCPDP/NABP
CA
05
—
PHA222270
—
CA
Enumeration date
12/22/2005
Last updated
08/22/2020
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