Healthcare Provider Details

I. General information

NPI: 1467135517
Provider Name (Legal Business Name): PILL BOX SPECIALTY PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26206 W 12 MILE RD STE 301
SOUTHFIELD MI
48034-8501
US

IV. Provider business mailing address

26206 W 12 MILE RD STE 301A
SOUTHFIELD MI
48034-8501
US

V. Phone/Fax

Practice location:
  • Phone: 313-433-2390
  • Fax:
Mailing address:
  • Phone: 888-873-0126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JIMMY FISHER
Title or Position: MANAGEMENT
Credential:
Phone: 888-873-0126