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One Source RX, LLC

Details

Name: One Source RX, LLC
Jurisdiction: Alabama
Legal type: Foreign Series Limited Liability Company
Status: Exists
Date of registration: 19 Aug 2013 (11 years ago) (Companies founded in August 2013)
Entity Number: 000-292-892
Register Number: 000292892
ZIP code: 35233 (Companies in Jefferson, 35233)
County: Jefferson
Place of Formation: Delaware
Principal Address: 3008 CLAIRMONT AVE SOUTHBIRMINGHAM, AL 35233

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891122834 2013-10-05 2013-10-05 PO BOX 531228, BIRMINGHAM, AL, 352531228, US 3008 CLAIRMONT AVE S STE 100, BIRMINGHAM, AL, 352051113, US

Contacts

Phone +1 205-244-1444
Fax 2052441119

Authorized person

Name PORTER MCCOLLISTER
Role MANAGING PARTNER
Phone 2057904774

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114219
State AL
Is Primary Yes

Other Provider Identifiers

Issuer PK
Number 2142386

Agent

Name Role Address
MCCOLLISTER, PORTER Agent 2250 HIGHLAND AVE, #6BIRMINGHAM, AL 35205

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State