| Name: | Margaret Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Aug 2015 (9 years ago) |
| Entity Number: | 000-342-170 |
| Register Number: | 000342170 |
| County: | Jefferson |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 5962 DEER CREST LANETRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578937488 | 2015-11-17 | 2018-07-19 | 145 JEFFREY WILSON DR, ODENVILLE, AL, 351205575, US | 145 JEFFREY WILSON DR, ODENVILLE, AL, 351205575, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-319-1999 |
| Fax | 2056290301 |
Authorized person
| Name | MARK ROSS |
| Role | OWNER/PIC/AO |
| Phone | 2053191999 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114548 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2155060 |
| Issuer | MEDICAID |
| Number | 179889 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| ROSS, MARK D | Agent | 5962 DEER CREST LANETRUSSVILLE, AL 35173 |
| Name | Role | Address |
|---|---|---|
| ROSS, MARK D | Organizer | 5962 DEER CREST LANETRUSSVILLE, AL 35173 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
