Organization
WILDEL, LLC
Active
Other names
The Pill Box Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WILLIAMS RPH (OWNER PHARMACIST)
(318) 448-2445
Entity
Organization
Contact information
Practice address
4740 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2505
(318) 448-2445
(318) 448-9626
Mailing address
4740 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2505
(318) 448-2445
(318) 448-9626
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217042
—
LA
01
—
1933250
NCPDP #
LA
Enumeration date
06/14/2007
Last updated
03/07/2023
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