Organization
WILDEL, LLC
Active
Other names
THE PILL BOX PHARMACY #002
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY MAYES (OFFICE MANAGER)
(318) 448-2445
Entity
Organization
Contact information
Practice address
3311 3RD ST, ALEXANDRIA, LA 71302-5704
(318) 787-2788
(318) 787-6284
Mailing address
3311 3RD ST, ALEXANDRIA, LA 71302-5704
(318) 787-2788
(318) 787-6284
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
6289IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467767194
NPI
—
05
—
2200381
—
LA
Enumeration date
08/18/2010
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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