| Name: | ValuMed Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Jun 2011 (13 years ago) |
| Entity Number: | 000-016-836 |
| Register Number: | 000016836 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 4109 EVA ROADEVA, AL 35621 |
| Registered Office Street Address ZIP Code: | 35621 |
Activities
OWN & OPERATE A PHARMACY & OTHER HEALTH/MEDICAL SUPPLY BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477849719 | 2011-06-24 | 2017-04-06 | PO BOX 129, EVA, AL, 356210129, US | 11069 US HIGHWAY 278 E, HOLLY POND, AL, 350836841, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-796-7131 |
| Fax | 2567960316 |
| Phone | +1 256-796-4449 |
| Fax | 2567960599 |
Authorized person
| Name | JASON SPENCER |
| Role | OWNER |
| Phone | 2567964449 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111926 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2130915 |
| Name | Role | Address |
|---|---|---|
| SPENCER, JASON G | Organizer | 4109 EVA ROADEVA, AL 35621 |
| HAGER, ROBERT P JR | Organizer | 11069 U.S. HIGHWAY 278 EASTHOLLY POND, AL 35083 |
| Name | Role | Address |
|---|---|---|
| SPENCER, JASON G | Agent | 4109 EVA ROADEVA, AL 35621 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
