| Name: | Troy Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Oct 2014 (10 years ago) (Companies founded in October 2014) |
| Entity Number: | 000-320-878 |
| Register Number: | 000320878 |
| Historical Names: |
Dadeville Pharmacy, LLC
|
| ZIP code: | 36375 (Companies in Geneva, 36375) |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Registered Office Street Address: | 141 SOUTH DALTON STREETSLOCOMB, AL 36375 |
| Registered Office Mailing Address: | PO BOX 279SLOCOMB, AL 36375 |
Activities
OWN/OPERATE RETAIL PHARMACY
DEAL IN/WITH REAL/PERSONAL PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902288731 | 2015-06-29 | 2023-06-21 | 1412 ELBA HWY STE 1-A, TROY, AL, 360796020, US | 1412 ELBA HWY STE 1-A, TROY, AL, 360796020, US | |||||||||||||||||||||||||
|
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| Phone | +1 334-697-4920 |
| Fax | 3344034765 |
Authorized person
| Name | MR. JOE A DALTON |
| Role | OWNER |
| Phone | 3346974920 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114492 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 174346 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A | Agent | 141 SIYTG DAKTIB STREETSLOCOMB, AL 36375 |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A | Member | 141 SIYTG DAKTIB STREETSLOCOMB, AL 36375 |
| Name | Role | Address |
|---|---|---|
| DALTON, JOE A | Organizer | 141 SIYTG DAKTIB STREETSLOCOMB, AL 36375 |
| HINESLEY, WILLIAM W | Organizer | 291 NORTH OATES STEETDOTHAN, AL 36302 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-04-10 | Name Change | Dadeville Pharmacy, LLC | Troy Pharmacy, LLC |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
