| Name: | Elite Rx LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Sep 2011 (13 years ago) |
| Entity Number: | 000-025-324 |
| Register Number: | 000025324 |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Principal Address: | 135 GEMINI CIRCLE ST 201BIRMINGHAM, AL 35209 |
| Principal Address ZIP Code: | 35209 |
Activities
ANY AND ALL LAWFUL ACTIVITY PERMITTED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053696880 | 2011-10-12 | 2015-04-28 | 135 GEMINI CIR STE 201, BIRMINGHAM, AL, 352095842, US | 135 GEMINI CIR STE 201, BIRMINGHAM, AL, 352095842, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 205-945-6705 |
| Fax | 2059456703 |
Authorized person
| Name | MR. DANIEL RYAN ROBNETT |
| Role | CO-OWNER |
| Phone | 2055221559 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113816 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE PERMIT |
| Number | 113816 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ROBNETT, RYAN | Agent | 4201 HATHAWAY LANEMOUNT OLIVE, AL 35117 |
| Name | Role |
|---|---|
| THIRD PHARMACY HOLDINGS | Member |
| Name | Role | Address |
|---|---|---|
| CREASEY, LETICIA | Organizer | 2417 HUNTERS CREEK COVECEDAR PARK, TX 78613 |
| HESTER, JEANNA | Organizer | 145 BERKSHIRE MANOR CIRCLEALABASTER, AL 35007 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
