| Name: | PharMix Rx LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 27 Oct 2015 (9 years ago) |
| Date of dissolution: | 13 Apr 2018 |
| Entity Number: | 000-348-649 |
| Register Number: | 000348649 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 293 WINDSONG LOOPWETUMPKA, AL 36093 |
| Registered Office Street Address ZIP Code: | 36093 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154784403 | 2016-04-04 | 2016-04-11 | 66 VILLAGE LOOP, WETUMPKA, AL, 360931221, US | 66 VILLAGE LOOP, WETUMPKA, AL, 360931221, US | |||||||||||||||||||||||
|
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| Phone | +1 334-478-3522 |
| Fax | 3344783518 |
Authorized person
| Name | HOLLI ANTHONY |
| Role | OWNER / PHARMACIST |
| Phone | 3344783522 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2159418 |
| Name | Role |
|---|---|
| ANTHONY, HOLLI M | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
