Organization
PALACE DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL DUANE SMITH RPH. (PHARMACIST/OWNER)
(785) 460-7507
Entity
Organization
Contact information
Practice address
460 N FRANKLIN AVE, COLBY, KS 67701-2326
(785) 460-7507
(785) 460-2522
Mailing address
460 N FRANKLIN AVE, COLBY, KS 67701-2326
(785) 460-7507
(785) 460-2522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
206543
KS
3336C0003X
Community/Retail Pharmacy
2-06543
KS
3336L0003X
Long Term Care Pharmacy
2-06543
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100437940B
—
KS
Enumeration date
07/26/2005
Last updated
08/09/2016
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