| Organization Name: | REAMS PALACE DRUG INC |
| NPI Number: | 1518042936 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL J MASSE (CEO) |
| Mailing Address: | 601 Main St Canon City |
| State: | CO US |
| Postal Code: | 812123736 |
| Phone Number: | 7192753375 |
| Fax Number: | 7192754756 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 02/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 170000004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |