| Name: | Rx Services Diversified, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 20 Nov 2006 (18 years ago) |
| Date of dissolution: | 31 Oct 2019 |
| Entity Number: | 000-250-035 |
| Register Number: | 000250035 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FAIRHOPE, AL |
| Registered Office Street Address: | 104 ECOR ROUGE PLACEFAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689860074 | 2007-09-19 | 2023-03-07 | 618 MCMEANS AVE, BAY MINETTE, AL, 36507, US | 618 MCMEANS AVE, BAY MINETTE, AL, 36507, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-580-2770 |
| Fax | 2515802768 |
Authorized person
| Name | JODI SILVIO |
| Role | OWNER |
| Phone | 2515802770 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336L0003X - Long Term Care Pharmacy |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100039198 |
| State | AL |
| Issuer | NCPDP # |
| Number | 0134837 |
| State | AL |
| Name | Role |
|---|---|
| SILVIO, JODI C | Agent |
| Name | Role |
|---|---|
| SILVIO, JODI C | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
