| Name: | Northside Apothecary, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Sep 2011 (13 years ago) |
| Entity Number: | 000-025-346 |
| Register Number: | 000025346 |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 70 PLAZA DRIVE SUITE APELL CITY, AL 35125 |
| Registered Office Street Address ZIP Code: | 35125 |
Activities
DEALING IN DRUGS/MEDICINES & OTHER SUPPLIES AND MERCHANDISE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053670844 | 2012-05-14 | 2013-10-24 | 70 PLAZA DR, PELL CITY, AL, 351259314, US | 70 PLAZA DRIVE, PELL CITY, AL, 351259314, US | |||||||||||||||||||||||
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| Phone | +1 205-814-9284 |
| Fax | 2053380865 |
Authorized person
| Name | DR. RONALD W. HELMS II |
| Role | PRESIDENT |
| Phone | 2058149284 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 143787 |
| State | AL |
| Name | Role |
|---|---|
| HELMS, RONALD W JR | Agent |
| Name | Role | Address |
|---|---|---|
| INRI MEDICAL ASSOCIATES PC | Organizer | 70 PLAZA DRIVEPELL CITY, AL 35125 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
