| Name: | Franklin Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 17 Dec 2010 (14 years ago) |
| Entity Number: | 000-305-279 |
| Register Number: | 000305279 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 361 MUSTANG DRIVERUSSELLVILLE, AL 35654 |
| Registered Office Street Address ZIP Code: | 35654 |
Activities
ANY LAWFUL ACTIVITY
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Franklin Pharmacy, LLC | LLC_03559483 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902100530 | 2010-12-21 | 2012-11-16 | 361 MUSTANG DR, RUSSELLVILLE, AL, 356548081, US | 361 MUSTANG DR, RUSSELLVILLE, AL, 356548081, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-718-1776 |
| Fax | 8884821132 |
Authorized person
| Name | TIMOTHY AARON |
| Role | OWNER |
| Phone | 8884823972 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113501 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 126928 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0136956 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN PHARMACY, LLC 401(K) PLAN | 2012 | 274334085 | 2013-10-15 | FRANKLIN PHARMACY, LLC | 0 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | JEFF SOUTH |
| Name | Role |
|---|---|
| AARON, TIMOTHY ALAN | Agent |
| Name | Role |
|---|---|
| AARON, TIMOTHY ALAN | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
