| Name: | Drake-Hogan Pharmacy, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Feb 2012 (13 years ago) (Companies founded in February 2012) |
| Entity Number: | 000-041-430 |
| Register Number: | 000041430 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1919 OXMOOR ROAD SUITE 206HOMEWOOD, AL 35209 |
Activities
OPERATE ONE OR MORE PHARMACIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295091197 | 2012-04-04 | 2012-07-18 | 1919 OXMOOR RD STE 206, HOMEWOOD, AL, 352093502, US | 2401 15TH AVE N, BIRMINGHAM, AL, 352342833, US | |||||||||||||||||||||||||||
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| Phone | +1 205-453-0934 |
| Fax | 2054530940 |
| Phone | +1 205-453-9096 |
| Fax | 2054539097 |
Authorized person
| Name | JONATHAN DUNNING |
| Role | CEO |
| Phone | 2054530934 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113878 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0137744 |
| Name | Role | Address |
|---|---|---|
| DUNNING, JONATHAN W | Agent | SUITE 3120 REGIONS/HARBERT PLAZABIRMINGHAM, AL 35203 |
| Name | Role |
|---|---|
| DUNNING, JONATHAN | Member |
| Name | Role | Address |
|---|---|---|
| DUNNING, JONATHAN W | Organizer | SUITE 3120 REGIONS/HARBERT PLAZABIRMINGHAM, AL 35203 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
