Organization
PALACE DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT HODGE (PHARMACIST)
(806) 592-2525
Entity
Organization
Contact information
Practice address
131 N MAIN AVE, DENVER CITY, TX 79323-3237
(806) 592-2525
(806) 592-3958
Mailing address
131 N MAIN AVE, DENVER CITY, TX 79323-3237
(806) 592-2525
(806) 592-3958
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01654
TX
Other
Enumeration date
01/29/2007
Last updated
06/17/2008
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