Provider Demographics
NPI:1659848968
Name:PILL CLOUD, LLC
Entity Type:Organization
Organization Name:PILL CLOUD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-936-9559
Mailing Address - Street 1:8989 FOREST LN STE 138
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4137
Mailing Address - Country:US
Mailing Address - Phone:214-936-9559
Mailing Address - Fax:733-200-7244
Practice Address - Street 1:8989 FOREST LN STE 138
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-4137
Practice Address - Country:US
Practice Address - Phone:214-936-9559
Practice Address - Fax:733-200-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy