| Name: | C & R Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Nov 2010 (14 years ago) (Companies founded in November 2010) |
| Entity Number: | 000-304-330 |
| Register Number: | 000304330 |
| ZIP code: | 36607 (Companies in Mobile, 36607) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 2001 SPRINGHILL AVEMOBILE, AL 36607 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245529494 | 2011-03-28 | 2012-11-07 | 4682 AIRPORT BLVD STE A, MOBILE, AL, 366083124, US | 4682 AIRPORT BLVD STE A, MOBILE, AL, 366083124, US | |||||||||||||||||||||||||||||
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| Phone | +1 251-341-1113 |
| Fax | 2513411116 |
| Fax | 2413411116 |
Authorized person
| Name | XIULU RUAN |
| Role | CO-OWNER |
| Phone | 2514784900 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113578 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0137047 |
| Name | Role |
|---|---|
| COUCH, J PATRICK | Agent |
| Name | Role | Address |
|---|---|---|
| RUAN, XIULU | Member | 4682 AIRPORT BLVDMOBILE, AL 36608 |
| COUCH, J PATRICK | Member | No data |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
