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: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7107 N WAYNE RD STE B
WESTLAND MI
48185-2172
US

IV. Provider business mailing address

7107 N WAYNE RD STE B
WESTLAND MI
48185-2172
US

V. Phone/Fax

Practice location:
  • Phone: 888-873-0126
  • 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 StateNULL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

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