Palace Drug of Coalgate LLC

NPI #1780767731 in Coalgate, Oklahoma

Provider Information

NPI Number
1780767731
Entity Type
Organization
Organization Name
Palace Drug of Coalgate LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 23, 2006
Last Updated
Oct 7, 2021

Practice Location

Address
104 W OHIO AVE
ZIP Code
74538-2827
Phone
(580) 927-2064

Authorized Official

Name
JARED COLLINS
Title
OWNER
Phone
(580) 927-2064

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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