| Name: | Toluca & Dobby, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Series Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Nov 2015 (9 years ago) (Companies founded in November 2015) |
| Entity Number: | 000-348-302 |
| Register Number: | 000348302 |
| ZIP code: | 35212 (Companies in Jefferson, 35212) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 5502 CRESTWOOD BLVD SUITE ABIRMINGHAM, AL 35212 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245781046 | 2016-10-18 | 2022-04-04 | 5502 CRESTWOOD BLVD, SUITE A, BIRMINGHAM, AL, 352124131, US | 5502 CRESTWOOD BLVD, SUITE A, BIRMINGHAM, AL, 352124131, US | |||||||||||||||||||||||||
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| Phone | +1 205-910-5235 |
| Fax | 2055640529 |
Authorized person
| Name | DR. RANDALL TAYLOR TRAMMELL |
| Role | PHARMACIST IN CHARGE |
| Phone | 2059105235 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 199451 |
| State | AL |
| Name | Role |
|---|---|
| SHADIX, TYLER | Agent |
| Name | Role |
|---|---|
| SHADIX, TYLER | Organizer |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
