| Name: | Injury Med Express Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jun 2011 (13 years ago) (Companies founded in June 2011) |
| Entity Number: | 000-013-996 |
| Register Number: | 000013996 |
| ZIP code: | 36551 (Companies in Baldwin, 36551) |
| County: | Baldwin |
| Place of Formation: | Delaware |
| Principal Address: | 30245 COUNTY ROAD 49LOXLEY, AL 36551 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659669976 | 2011-07-20 | 2016-02-11 | 1410 US HIGHWAY 98, UNIT H, DAPHNE, AL, 365265110, US | 1410 US HIGHWAY 98, UNIT H, DAPHNE, AL, 365265110, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 888-418-9808 |
| Fax | 8884845016 |
Authorized person
| Name | ASHLEY HAMMOND |
| Role | MANAGING CONSULTANT |
| Phone | 8668322263 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | NP000017 |
| State | PA |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | 113782 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2131252 |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
