Healthcare Provider Details
I. General information
NPI: 1871690719
Provider Name (Legal Business Name): PILL BOX DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
910 NW KINGS BLVD
CORVALLIS OR
97330-2505
US
IV. Provider business mailing address
916 W EVERGREEN BLVD
VANCOUVER WA
98660-3035
US
V. Phone/Fax
- Phone: 541-752-7779
- Fax: 541-981-5169
- Phone: 360-213-2246
- Fax: 360-844-5210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | RP0000157 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THOMAS
FIELD
Title or Position: PHARMACIST
Credential:
Phone: 541-752-7779