Provider Demographics
NPI:1760262604
Name:PILLBOX, INC.
Entity Type:Organization
Organization Name:PILLBOX, INC.
Other - Org Name:MERCY PLAZA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PIC
Authorized Official - Prefix:
Authorized Official - First Name:SEAJAL
Authorized Official - Middle Name:
Authorized Official - Last Name:JIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:916-642-7900
Mailing Address - Street 1:3941 J ST STE 130
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3633
Mailing Address - Country:US
Mailing Address - Phone:916-642-7900
Mailing Address - Fax:916-642-7901
Practice Address - Street 1:3941 J ST STE 130
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3633
Practice Address - Country:US
Practice Address - Phone:916-642-7900
Practice Address - Fax:916-642-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy