| Name: | Pinnacle Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Jan 2013 (12 years ago) |
| Date of dissolution: | 29 Dec 2017 |
| Entity Number: | 000-270-057 |
| Register Number: | 000270057 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | 1766 HIGHWAY 77SOUTHSIDE, AL 35901 |
| Principal Address ZIP Code: | 35901 |
| Principal Mailing Address: | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| Principal Mailing Address ZIP Code: | 35901 |
Activities
SALES
DISTRIBUTION/COMPOUNDING OF PHARAMCEUTICAL DRUGS
MEDICAL
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528301561 | 2013-03-28 | 2014-10-29 | 3331 RAINBOW DR STE E, RAINBOW CITY, AL, 359066264, US | 113 RAINBOW INDUSTRIAL BLVD, RAINBOW CITY, AL, 359068901, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 256-467-6337 |
| Fax | 2564854543 |
Authorized person
| Name | JAMI SHELNUTT |
| Role | OWNER |
| Phone | 2566133289 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114058 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2139436 |
| Name | Role | Address |
|---|---|---|
| SHELNUTT, JAMES M | Agent | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| Name | Role | Address |
|---|---|---|
| AUSTIN, DERRICK | Organizer | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| AUSTIN, TCHELINDRIA W | Organizer | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| SHELNUTT, JAMI L | Organizer | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| SHELNUTT, JAMES M | Organizer | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
| AUSTIN, DERRICK D | Organizer | 601 SOUTH 5TH STREETGADSDEN, AL 35901 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
