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Northside Apothecary, LLC

Details

Name: Northside Apothecary, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Sep 2011 (13 years ago) (Companies founded in September 2011)
Entity Number: 000-025-346
Register Number: 000025346
ZIP code: 35125 (Companies in Saint Clair, 35125)
County: Saint Clair
Place of Formation: Saint Clair County
Registered Office Street Address: 70 PLAZA DRIVE SUITE APELL CITY, AL 35125

Activities DEALING IN DRUGS/MEDICINES & OTHER SUPPLIES AND MERCHANDISE

National Provider Identifier

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

Contacts

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

Agent

Name Role
HELMS, RONALD W JR Agent

Organizer

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