Palace Drug Store Inc

LBN: Palace Drug Store Inc
Palace Drug Store Inc is an health care organization with primary practice located at 460 N Franklin Ave , Colby KS 67701-2326. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Palace Drug Store Inc can be contacted via phone (785) 460-7507, or through Smith, Randall Duane via phone (785) 460-7507.

Contact Information

Primary practice address
460 N Franklin Ave Colby KS 67701-2326
Fax: (785) 460-2522
Website:
Authorized official contact:
Name: Smith, Randall Duane RPH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 206543 Kansas
Suppliers / Community/Retail Pharmacy 3336C0003X 2-06543 Kansas
Suppliers / Long Term Care Pharmacy 3336L0003X 2-06543 Kansas

Profile Details

NPI number 1083614697
LBN Legal business name Palace Drug Store Inc
DBA Doing business as
Authorized official Smith, Randall Duane RPH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Aug 9th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083614697 NPPES
Kansas MEDICAID 100437940B

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