Organization
PALACE DRUG STORE OF COLBY LLC
Active
Other names
Palace Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH BENYSHEK (PHARMACIST IN CHARGE)
(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
3336C0003X
Community/Retail Pharmacy
Primary
2-105716
KS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-105716
KANSAS STATE BOARD OF PHARMACY
KS
Enumeration date
06/01/2018
Last updated
07/09/2019
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