| Name: | Alabama Rx, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Sep 2014 (10 years ago) (Companies founded in September 2014) |
| Entity Number: | 000-318-389 |
| Register Number: | 000318389 |
| Historical Names: |
Alabama Specialty Rx, LLC
|
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2728 10TH AVENUE SOUTH SUITE 320BIRMINGHAM, AL 35205 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477926657 | 2015-11-10 | 2017-04-13 | 2728 10TH AVE S, SUITE 340, BIRMINGHAM, AL, 352051202, US | 2728 10TH AVE S STE 340, BIRMINGHAM, AL, 352051202, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-263-9735 |
| Fax | 2059394413 |
Authorized person
| Name | CHRIS BARNES |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2058034333 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114549 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2155064 |
| Issuer | MEDICAID |
| Number | 181022 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BARNES, CHRIS | Agent | 500 OFFICE PARK DRIVE SUITE 400BIRMINGHAM, AL 35223 |
| Name | Role | Address |
|---|---|---|
| LUKE, COLIN H | Organizer | 1901 6TH AVENUE NORTH SSUITE 1400BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-09-03 | Name Change | Alabama Specialty Rx, LLC | Alabama Rx, LLC |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
