| Name: | Christopher Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Feb 2013 (12 years ago) (Companies founded in February 2013) |
| Entity Number: | 000-274-282 |
| Register Number: | 000274282 |
| ZIP code: | 36619 (Companies in Mobile, 36619) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 4376 DAWES LANE EASTMOBILE, AL 36619 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982947586 | 2013-04-02 | 2024-06-24 | 1300 SCHILLINGER RD S STE W2, MOBILE, AL, 366958925, US | 1300 SCHILLINGER RD S STE W2, MOBILE, AL, 366958925, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-288-4612 |
| Fax | 2512884614 |
Authorized person
| Name | DR. BENJAMIN ROBERT CHRISTOPHER |
| Role | OWNER/SUPERVISING PHARMACIST |
| Phone | 2512884612 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114069 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2139601 |
| Issuer | MEDICAID |
| Number | 148852 |
| State | AL |
| Name | Role |
|---|---|
| CHRISTOPHER, BENJAMIN R | Agent |
| Name | Role | Address |
|---|---|---|
| CHRISTOPHER, BENJAMIN ROBERT | Organizer | 4376 DAWES LANE EASTMOBILE, AL 36619 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
