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RX PRO OF ALABAMA, LLC

Headquarter

Details

Name: RX PRO OF ALABAMA, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 May 2014 (10 years ago)
Entity Number: 000-310-779
Register Number: 000310779
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 2355 HARTFORD HIGHWAY SUITE 6DOTHAN, AL 36305
Registered Office Street Address ZIP Code: 36305

Activities ANY LAWFUL PURPOSE

Links between entities

Type Company Name Company Number State
Headquarter of RX PRO OF ALABAMA, LLC LLC_04952898 ILLINOIS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316358344 2014-05-13 2015-10-14 2355 HARTFORD HWY STE 6, DOTHAN, AL, 363054923, US 2355 HARTFORD HWY STE 6, DOTHAN, AL, 363054923, US

Contacts

Phone +1 601-326-5378
Fax 6013265381

Authorized person

Name RONNIE TAYLOR
Role PIC
Phone 3344460460

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114347
State AL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2146084

Agent

Name Role Address
CARTER, VINCENT Agent 2355 HARTFORD HIGHWAY SUITE 6DOTHAN, AL 36305

Organizer

Name Role Address
CARTER, VINCENT Organizer 2355 HARTFORD HIGHWAY SUITE 6DOTHAN, AL 36305

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State