| Name: | Millry Drugs, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Feb 2016 (9 years ago) |
| Entity Number: | 000-351-868 |
| Register Number: | 000351868 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407061526 | 2007-05-11 | 2021-11-09 | PO BOX 199, MILLRY, AL, 365580199, US | 30282 HWY 17 N, MILLRY, AL, 36558, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 251-846-6290 |
| Fax | 2518466208 |
Authorized person
| Name | SHARON THOMPSON |
| Role | OFFICE MANAGER |
| Phone | 2518466208 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 111191 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100002969 |
| State | AL |
| Issuer | PK |
| Number | 1994009 |
| Name | Role | Address |
|---|---|---|
| MACOY, MARK W | Agent | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
| Name | Role | Address |
|---|---|---|
| MACOY, MARK W | Organizer | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
