| Name: | GRAND POINTE PHARMACY, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Jul 2012 (12 years ago) |
| Entity Number: | 000-071-296 |
| Register Number: | 000071296 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 2045 2ND AVE NWCULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205170701 | 2012-11-21 | 2016-04-11 | 2045 2ND AVE NW, CULLMAN, AL, 350580472, US | 2045 2ND AVE NW, CULLMAN, AL, 350580472, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-737-1330 |
| Fax | 2567378778 |
Authorized person
| Name | ANGELA VEAL |
| Role | OWNER/PHARMACY MANAGER |
| Phone | 2565317742 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113996 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2137962 |
| Issuer | MEDICAID |
| Number | 144563 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| VEAL, ANGELA M | Agent | 166 COUNTY ROAD 1310VINEMONT, AL 35179 |
| Name | Role | Address |
|---|---|---|
| VEAL, ANGELA M | Organizer | 166 COUNTY ROAD 1310VINEMONT, AL 35179 |
| VEAL, KELVIN L | Organizer | 166 COUNTY ROAD 1310VINEMONT, AL 35179 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
