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Priceville Pharmacy, LLC

Details

Name: Priceville Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Apr 2013 (12 years ago)
Entity Number: 000-277-187
Register Number: 000277187
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 2941 POINT MALLARD PKWY SE STE ADECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603

Activities PHARMACY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841532546 2013-03-20 2013-03-20 2941 POINT MALLARD PKWY, SUITE A, DECATUR, AL, 35603, US 2941 POINT MALLARD PKWY, SUITE A, DECATUR, AL, 35603, US

Contacts

Phone +1 256-350-2588
Fax 2563509860

Authorized person

Name DR. AUNDRIA BALDWIN
Role SUPERVISING PHARMACIST
Phone 2563502588

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114056
State AL
Is Primary Yes

Agent

Name Role
SPEEGLE, LEILA E Agent

Organizer

Name Role Address
SPEEGLE, LEILA ELAYAN Organizer 508 CAIN ROADSOMERVILLE, AL 35670

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State