# WILDEL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE PILL BOX PHARMACY \#002
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467767194
- **Authorized official:** BETSY MAYES (OFFICE MANAGER)
- **Authorized official phone:** (318) 448-2445

## Contact information

- **Practice address:** 3311 3RD ST, ALEXANDRIA, LA 71302-5704
- **Practice address phone:** (318) 787-2788
- **Practice address fax:** (318) 787-6284
- **Mailing address:** 3311 3RD ST, ALEXANDRIA, LA 71302-5704
- **Mailing address phone:** (318) 787-2788
- **Mailing address fax:** (318) 787-6284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 6289IR | LA | Yes |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 03/07/2023