Search icon

Hometown Pharmacy of Bay Minette, LLC

Details

Name: Hometown Pharmacy of Bay Minette, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Oct 2010 (14 years ago) (Companies founded in October 2010)
Entity Number: 000-303-232
Register Number: 000303232
ZIP code: 36507 (Companies in Baldwin, 36507)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 619 MCMEANS AVENUEBAY MINETTE, AL 36507

Activities FURTHER PUBLIC HEALTH BY OFFERING A VARIETY OF GOODS/SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1497057517 2010-11-22 2016-07-20 619 MCMEANS AVE, BAY MINETTE, AL, 365073346, US 619 MCMEANS AVE, BAY MINETTE, AL, 365073346, US

Contacts

Phone +1 251-202-9444

Authorized person

Name MICHAEL BELL
Role OWNER/PHARMACIST
Phone 2513918516

Taxonomy

Taxonomy Code 333600000X - Pharmacy
License Number 113453
State AL
Is Primary Yes
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2127739
Issuer MEDICAID
Number 124622
State AL

Agent

Name Role Address
BELL, MICHAEL Agent 1101 VAIL CIRCLEBIRMINGHAM, AL 35215

Member

Name Role
BELL, MICHAEL EARL Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State