| Name: | Cottonwood Drugs, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Mar 2013 (12 years ago) |
| Entity Number: | 000-274-813 |
| Register Number: | 000274813 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 13182 COTTONWOOD ROADCOTTONWOOD, AL 36320 |
| Principal Address ZIP Code: | 36320 |
| Registered Office Street Address: | 900 ORCHARD CIRCLEDOTHAN, AL 36305 |
| Registered Office Street Address ZIP Code: | 36305 |
Activities
RETAIL STORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124467402 | 2013-06-19 | 2022-03-31 | PO BOX 130, COTTONWOOD, AL, 363200130, US | 12890 COTTONWOOD RD, COTTONWOOD, AL, 363204293, US | |||||||||||||||||||||||
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| Phone | +1 334-691-3784 |
Authorized person
| Name | JAMES RYAN FOLSOM |
| Role | OWNER/PHARMACIST |
| Phone | 3346913784 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114137 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 150123 |
| State | AL |
| Name | Role |
|---|---|
| FOLSOM, JAMES R | Agent |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Organizer | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
