| Name: | St. Clair Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Jan 2012 (13 years ago) (Companies founded in January 2012) |
| Entity Number: | 000-035-869 |
| Register Number: | 000035869 |
| ZIP code: | 35983 (Companies in Cherokee, 35983) |
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Principal Address: | 5640 WEISS LAKE BLVDLEESBURG, AL 35983 |
| Principal Mailing Address: | 750 HOLMAN STLEESBURG, AL 35983 |
Activities
INDEPENDENT PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306918909 | 2006-11-15 | 2018-07-19 | 270 INDUSTRIAL BLVD, LEESBURG, AL, 359833737, US | 270 INDUSTRIAL BLVD, LEESBURG, AL, 359833737, US | |||||||||||||||||||||||||||
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| Phone | +1 256-526-6337 |
| Fax | 2565266342 |
Authorized person
| Name | DANIEL ST CLAIR |
| Role | OWNER |
| Phone | 2565266337 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111827 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2135005 |
| Name | Role | Address |
|---|---|---|
| ST. CLAIR, DANIEL | Agent | 1080 COUNTY ROAD 53CEDAR BLUFF, AL 35959 |
| Name | Role | Address |
|---|---|---|
| ST.CLAIR, DANIEL | Organizer | 750 HOLMAN STLEESBURG, AL 35983 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
