| Name: | Medication Management Solutions, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Feb 2012 (13 years ago) |
| Entity Number: | 000-041-756 |
| Register Number: | 000041756 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | 4150 CLIFF DRIVEJASPER, AL 35504 |
| Principal Address ZIP Code: | 35504 |
Activities
CLOSED DOOR PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275899973 | 2012-04-06 | 2018-07-19 | PO BOX 2457, JASPER, AL, 355022457, US | 2030 3RD AVE S, JASPER, AL, 355015807, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-387-7802 |
| Fax | 8888558640 |
Authorized person
| Name | LARRY KNOTTS |
| Role | CEO |
| Phone | 2053877802 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| License Number | 113888 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 138137 |
| State | AL |
| Issuer | PK |
| Number | 2135232 |
| Name | Role | Address |
|---|---|---|
| KNOTTS, DEBORAH T | Organizer | 4150 CLIFF DRIVEJASPER, AL 35504 |
| KNOTTS, LARRY E | Organizer | 4150 CLIFF DRIVEJASPER, AL 35504 |
| Name | Role | Address |
|---|---|---|
| KNOTTS, LARRY E | Agent | 4150 CLIFF DRIVEJASPER, AL 35504 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
