Organization
PALACE DRUG PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TILLEY DPH (OWNER)
(918) 519-7960
Entity
Organization
Contact information
Practice address
301 N BROADWAY ST, CLEVELAND, OK 74020-3421
(918) 358-2524
(918) 358-2588
Mailing address
301 N BROADWAY ST, CLEVELAND, OK 74020-3421
(918) 358-2524
(918) 358-2588
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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