| Name: | East Alabama Allergy and Asthma, PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Dec 2010 (14 years ago) |
| Entity Number: | 000-305-237 |
| Register Number: | 000305237 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 1925 EAST GLENN AVE.AUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
PHYSICAN PRACTICE/ALLERGY/ASTHMA/CLINICAL IMMUNOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265198048 | 2021-11-16 | 2021-11-16 | 1925 E GLENN AVE STE 222, AUBURN, AL, 368305729, US | 1925 E GLENN AVE STE 222, AUBURN, AL, 368305729, US | |||||||||||||||
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| Phone | +1 334-528-0078 |
| Fax | 3345280079 |
Authorized person
| Name | DR. WILLIAM MCFAULL |
| Role | SUPERVISING PHARMACIST |
| Phone | 3345280078 |
Taxonomy
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TOLE, JOHN W | Agent |
| Name | Role |
|---|---|
| TOLE, JOHN W | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
