| Name: | Hibbett Patient Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 25 Oct 2010 (14 years ago) |
| Date of dissolution: | 02 Jan 2019 |
| Entity Number: | 000-303-411 |
| Register Number: | 000303411 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 1240 FLORENCE BLVDFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457654907 | 2010-12-06 | 2013-08-23 | 220 W TENNESSEE ST STE 1, FLORENCE, AL, 356305438, US | 220 W TENNESSEE ST STE 1, FLORENCE, AL, 356305438, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 256-764-4675 |
| Fax | 2567644674 |
Authorized person
| Name | KNEELAND HIBBETT |
| Role | MANAGING PARTNER |
| Phone | 2567644675 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | 113459 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2127903 |
| Name | Role |
|---|---|
| HOOVER, JEFFREY O | Agent |
| Name | Role |
|---|---|
| H&H INVESTMENT HOLDINGS LLC | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
