| Name: | Wetumpka Pharmacy L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Dec 2011 (13 years ago) |
| Entity Number: | 000-034-795 |
| Register Number: | 000034795 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| Principal Address ZIP Code: | 36092 |
Activities
THE PRACTICE OF PHARMACEUTICAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194005918 | 2011-08-24 | 2020-07-02 | 277 HUNTRESS ST, SUITE 101, WETUMPKA, AL, 36092, US | 277 HUNTRESS ST, SUITE 101, WETUMPKA, AL, 36092, US | |||||||||||||||||||||||||||
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| Phone | +1 334-567-5442 |
| Fax | 3345675423 |
Authorized person
| Name | JUAN LATORRE |
| Role | OWNER |
| Phone | 3345675442 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113792 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2131485 |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL D | Agent | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL | Member | 42 MALCOLM AVENUE SWRAINSVILLE, AL 35986 |
| LATORRE, JUAN C | Member | No data |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL D | Organizer | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| LATORRE, JUAN CARLOS | Organizer | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
