Provider Demographics
NPI:1134936248
Name:PILOT POINT LLC
Entity type:Organization
Organization Name:PILOT POINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:
Authorized Official - Last Name:WOELFEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-464-4500
Mailing Address - Street 1:101 OLD TOWN BLVD S STE 102
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-3969
Mailing Address - Country:US
Mailing Address - Phone:940-464-4500
Mailing Address - Fax:940-464-4533
Practice Address - Street 1:101 OLD TOWN BLVD S STE 102
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:TX
Practice Address - Zip Code:76226-3969
Practice Address - Country:US
Practice Address - Phone:940-464-4500
Practice Address - Fax:940-464-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy