Organization
PILL BOX PHARMACY INCORPORATED
Active
Other names
MEDIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DANIEL DUCK (OWNER/PRESIDENT)
(318) 218-8564
Entity
Organization
Contact information
Practice address
1849 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 865-0234
(318) 865-3972
Mailing address
1849 LINE AVE, SHREVEPORT, LA 71101-4611
(318) 865-0234
(318) 865-3972
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1228931
—
LA
Enumeration date
01/19/2007
Last updated
07/10/2025
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