| Name: | BEAUMONT PHARMACY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Aug 2011 (13 years ago) |
| Entity Number: | 000-021-982 |
| Register Number: | 000021982 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Principal Address: | 16724 US-HWY 280CHELSEA, AL 35043 |
| Principal Address ZIP Code: | 35043 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720369994 | 2011-09-01 | 2011-09-01 | 264 INVERNESS CENTER DRIVE, BIRMINGHAM, AL, 35242, US | 264 INVERNESS CENTER DR, BIRMINGHAM, AL, 352424834, US | |||||||||||||||||||||||
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| Phone | +1 205-991-7171 |
| Fax | 2059917179 |
Authorized person
| Name | TAMMY ROGERS |
| Role | OWNER |
| Phone | 2057771680 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 39917 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0137340 |
| Name | Role | Address |
|---|---|---|
| MR. WILLIAM JEFFERY HONEA II | Organizer | 16724 US-HWY 280CHELSEA, AL 35043 |
| Name | Role | Address |
|---|---|---|
| MR. WILLIAM JEFFERY HONEA II | Agent | 16724 US-HWY 280CHELSEA, AL 35043 |
| Name | Role | Address |
|---|---|---|
| MR. WILLIAM JEFFERY HONEA II | Member | 16724 US-HWY 280CHELSEA, AL 35043 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
