Provider Demographics
NPI:1295166221
Name:THE PILL BOX, LLC
Entity type:Organization
Organization Name:THE PILL BOX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-778-3784
Mailing Address - Street 1:568 SPRING VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SPRING CREEK
Mailing Address - State:NV
Mailing Address - Zip Code:89815-6821
Mailing Address - Country:US
Mailing Address - Phone:775-778-3784
Mailing Address - Fax:775-778-3797
Practice Address - Street 1:568 SPRING VALLEY CT
Practice Address - Street 2:
Practice Address - City:SPRING CREEK
Practice Address - State:NV
Practice Address - Zip Code:89815
Practice Address - Country:US
Practice Address - Phone:775-778-3784
Practice Address - Fax:775-778-3797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2018-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH022423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100513550Medicaid