# REAMS PALACE DRUG INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PALACE DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518042936
- **Authorized official:** WILLIAM SHELVER PHARMD (CEO)
- **Authorized official phone:** (719) 275-3375

## Contact information

- **Practice address:** 601 MAIN ST, CANON CITY, CO 81212-3736
- **Practice address phone:** (719) 275-3375
- **Practice address fax:** (719) 275-4756
- **Mailing address:** PO BOX 159, CANON CITY, CO 81212
- **Mailing address phone:** (719) 275-3375
- **Mailing address fax:** (719) 275-4756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | 170000004 | CO | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03735081 | — | CO |
| 01 | — | 2000845 | PK | — |