| Name: | Marian Respiratory Care, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 15 Jul 1999 (25 years ago) |
| Entity Number: | 000-204-005 |
| Register Number: | 000204005 |
| County: | Montgomery |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Marian Respiratory Care, Inc. | 606088 | IDAHO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992808190 | 2006-09-06 | 2018-09-19 | 28691 US HIGHWAY 98 STE D1, SUITE D1, DAPHNE, AL, 365267196, US | 28691 US HIGHWAY 98, STE. D1, DAPHNE, AL, 365267195, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-473-2222 |
| Fax | 2514731064 |
Authorized person
| Name | CHRISTINA BOND |
| Role | PHARMACY MANAGER |
| Phone | 8885308088 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009923210 |
| State | AL |
| Issuer | MEDICAID |
| Number | 100003699 |
| State | AL |
| Issuer | BCBS ALABAMA PROVIDER NUM |
| Number | 51045831 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| FISHER, ANDREW | Director | 28691 US HWY 98 SUITE D-1DAPHNE, AL 36526 |
| Name | Role |
|---|---|
| COUNTS, BRAXTON C III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
