| Name: | Semmes Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Feb 2011 (14 years ago) |
| Entity Number: | 000-004-272 |
| Register Number: | 000004272 |
| County: | Mobile |
| Place of Formation: | Escambia County |
| Registered Office Street Address: | 8985 MOFFETT ROADSEMMES, AL 36575 |
| Registered Office Street Address ZIP Code: | 36575 |
| Principal Address: | 8985 Moffett RoadSemmes, AL 36575 |
| Principal Address ZIP Code: | 36575 |
Activities
RETAIL
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205660081 | 2024-08-26 | 2024-08-26 | 8985 MOFFETT RD, SEMMES, AL, 365755311, US | 8985 MOFFETT RD, SEMMES, AL, 365755311, US | |||||||||||||||||||||||||
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| Phone | +1 251-645-7979 |
| Fax | 2516459008 |
Authorized person
| Name | DR. JESSICA LEE HUNG |
| Role | OWNER |
| Phone | 2516457979 |
Taxonomy
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 127919 |
| State | AL |
| Issuer | PK |
| Number | 2129608 |
| Name | Role | Address |
|---|---|---|
| Jessica Hung | Member | 1000 Wesley AveMobile, AL 36609 |
| Lancer Smith | Member | 34050 Ward RdStapleton, AL 36578 |
| Alan Browning | Member | 11623 County Rd 5Ashland, AL 36251 |
| Name | Role | Address |
|---|---|---|
| Jessica Hung | Organizer | 1000 Wesley AveMobile, AL 36609 |
| Name | Role |
|---|---|
| JESSICA HUNG | Agent |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
