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
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