| Name: | Daphne Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Feb 2013 (12 years ago) (Companies founded in February 2013) |
| Entity Number: | 000-274-408 |
| Register Number: | 000274408 |
| ZIP code: | 36502 (Companies in Escambia, 36502) |
| County: | Escambia |
| Place of Formation: | Escambia County |
| Principal Address: | 810 EAST CRAIG STREETATMORE, AL 36502 |
Activities
RETAIL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184069189 | 2013-05-03 | 2013-05-31 | 2101 US HIGHWAY 98, STE K, DAPHNE, AL, 365264295, US | 2101 US HIGHWAY 98, STE K, DAPHNE, AL, 365264295, US | |||||||||||||||||||||||||||
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| Phone | +1 251-509-0616 |
| Fax | 2515090620 |
Authorized person
| Name | CHARLES COTTRELL |
| Role | PRESIDENT |
| Phone | 2515090616 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114106 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2140413 |
| Name | Role | Address |
|---|---|---|
| COTTRELL, CHARLES D | Agent | 810 EAST CRAIG STREETATMORE, AL 36502 |
| Name | Role | Address |
|---|---|---|
| COTTRELL, CHARLES D | Organizer | 810 EAST CRAIG STREETATMORE, AL 36502 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
