Organization
WILDEL, LLC
Active
Other names
The Pill Box Pharmacy #003
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY MAYES (BUSINESS MANAGER)
(318) 448-2445
Entity
Organization
Contact information
Practice address
403 BOLTON AVE, ALEXANDRIA, LA 71301-7026
(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
Enumeration date
01/23/2013
Last updated
01/23/2013
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