| Name: | Bryars-Warren Drug Company, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Aug 2013 (11 years ago) (Companies founded in August 2013) |
| Entity Number: | 000-284-959 |
| Register Number: | 000284959 |
| ZIP code: | 36330 (Companies in Coffee, 36330) |
| County: | Coffee |
| Place of Formation: | Coffee County |
| Registered Office Street Address: | 112 N MAIN STREETENTERPRISE, AL 36330 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578991584 | 2013-10-30 | 2013-12-09 | 112 N MAIN ST, ENTERPRISE, AL, 363302537, US | 112 N MAIN ST, ENTERPRISE, AL, 363302537, US | |||||||||||||||||||||||
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| Phone | +1 334-347-2506 |
| Fax | 3343938155 |
Authorized person
| Name | JEREMY WILLETTE |
| Role | OWNER/PIC |
| Phone | 3343472506 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 101880 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2142646 |
| Name | Role | Address |
|---|---|---|
| WILLETTE, JEREMY | Agent | 367 CO RD 163NEW BROCKTON, AL 36351 |
| Name | Role | Address |
|---|---|---|
| SHIVER, STEVE | Organizer | 11030 N. STATE HIGHWAY 27CHANCELLOR, AL 36316 |
| ELLIS, JOEL H | Organizer | 621 BOLL WEEVIL CIRCLE STE 29ENTERPRISE, AL 36330 |
| WILLETTE, JEREMY | Organizer | 367 CO RD 163NEW BROCKTON, AL 36351 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
