| Name: | TRINITY DISCOUNT DRUGS LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Aug 2012 (12 years ago) |
| Entity Number: | 000-073-426 |
| Register Number: | 000073426 |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 1380 OLD HWY 24TRINITY, AL 35673 |
| Registered Office Street Address ZIP Code: | 35673 |
Activities
OPERATE A PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649323684 | 2007-01-22 | 2017-02-16 | 1380 OLD HIGHWAY 24, TRINITY, AL, 356735600, US | 1380 OLD HIGHWAY 24, TRINITY, AL, 356735600, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-350-3365 |
| Fax | 2563503366 |
Authorized person
| Name | BENJAMIN MOULTRIE |
| Role | OWNER |
| Phone | 2563503365 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 109750 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100001544 |
| State | AL |
| Issuer | PK |
| Number | 2138115 |
| Name | Role | Address |
|---|---|---|
| MOULTRIE, BENJAMIN D | Agent | 27 SPARKS STTRINITY, AL 35673 |
| Name | Role | Address |
|---|---|---|
| MOULTRIE, BENJAMIN D | Organizer | 27 SPARKS STTRINITY, AL 35673 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
