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Special Formula Prescriptions, Inc.

Details

Name: Special Formula Prescriptions, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 18 Feb 2000 (25 years ago) (Companies founded in February 2000)
Entity Number: 000-208-173
Register Number: 000208173
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2453 SHADES CREST RDBIRMINGHAM, AL 35216
Authorized Capital: 100

Activities SPECIAL PRESCRIPTIONS FROM RAW MATERIALS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568527711 2006-12-27 2014-11-20 3918 MONTCLAIR RD, STE 203, MOUNTAIN BRK, AL, 352132425, US 3918 MONTCLAIR RD, STE 203, MOUNTAIN BRK, AL, 352132425, US

Contacts

Phone +1 205-871-7445
Fax 2058717446

Authorized person

Name DAVID BENEFIELD
Role PRESIDENT
Phone 2058717445

Taxonomy

Taxonomy Code 3336C0004X - Compounding Pharmacy
License Number 111716
State AL
Is Primary Yes

Agent

Name Role
FREEMAN, CLYDE T Agent

Incorporator

Name Role
FREEMAN, CLYDE T Incorporator
WALKER, JAMES O Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State