| Name: | Mills Pharmacy at Woodlawn, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 18 Apr 2013 (12 years ago) (Companies founded in April 2013) |
| Date of dissolution: | 20 May 2024 |
| Entity Number: | 000-278-174 |
| Register Number: | 000278174 |
| Historical Names: |
MILLS PILLS, LLC - WOODLAWN
|
| ZIP code: | 35466 (Companies in Pickens, 35466) |
| County: | Pickens |
| Place of Formation: | Pickens County |
| Registered Office Street Address: | 2400 MTN DRIVE STE 104HOOVER, AL 35226 |
| Registered Office Mailing Address: | PO BOX 26679BIRMINGHAM, AL 35260 |
| Principal Address: | 515 HUDSON DRIVEGORDO, AL 35466 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134567100 | 2013-06-12 | 2020-04-10 | PO BOX 26679, BIRMINGHAM, AL, 352600679, US | 6501 1ST AVE N, BIRMINGHAM, AL, 352065009, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 205-871-9007 |
| Fax | 2058749946 |
| Phone | +1 205-591-7800 |
| Fax | 2055917888 |
Authorized person
| Name | JOSH HARDIN |
| Role | PHARMACIST |
| Phone | 2054270955 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114141 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 168288 |
| State | AL |
| Issuer | PK |
| Number | 2140733 |
| Name | Role | Address |
|---|---|---|
| LONG, BEETINA | Agent | 2087 BANEBERRY DRHOOVER, AL 35244 |
| Name | Role | Address |
|---|---|---|
| MILLS, ROBERT W | Organizer | 515 HUDSON DRIVEGORDO, AL 35466 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-01-15 | Name Change | MILLS PILLS, LLC - WOODLAWN | Mills Pharmacy at Woodlawn, LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
