Healthcare Provider Details

I. General information

NPI: 1528151982
Provider Name (Legal Business Name): PILL BOX DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 S MAIN ST
LEBANON OR
97355-4223
US

IV. Provider business mailing address

916 W EVERGREEN BLVD
VANCOUVER WA
98660-3035
US

V. Phone/Fax

Practice location:
  • Phone: 541-259-1225
  • Fax: 541-259-1210
Mailing address:
  • Phone: 360-213-2246
  • Fax: 360-844-5210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number0000273
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MELVIN NEUFELD
Title or Position: PHARMACIST
Credential:
Phone: 541-259-1225