Healthcare Provider Details

I. General information

NPI: 1568576536
Provider Name (Legal Business Name): PILLO BOX PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E MAIN ST
MENTONE IN
46539
US

IV. Provider business mailing address

PO BOX 458
MENTONE IN
46539-0458
US

V. Phone/Fax

Practice location:
  • Phone: 574-353-7835
  • Fax: 574-353-7385
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number60002569
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM WINN
Title or Position: OWNER
Credential:
Phone: 574-267-4900