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MinuteClinic Diagnostic of Alabama, L.L.C.

Details

Name: MinuteClinic Diagnostic of Alabama, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 13 May 2015 (10 years ago) (Companies founded in May 2015)
Date of dissolution: 21 Aug 2023
Entity Number: 000-335-768
Register Number: 000335768
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164802021 2015-06-05 2021-01-26 1 CVS DR, CREDENTIALING MC-2295, WOONSOCKET, RI, 028956146, US 4736 EASTERN VALLEY RD, MC CALLA, AL, 351113406, US

Contacts

Phone +1 866-389-2727

Authorized person

Name DEBORAH JEAN PINCINCE
Role ADMINISTRATOR
Phone 4017703813

Taxonomy

Taxonomy Code 363A00000X - Physician Assistant
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State