Name: | PARKS AVENUE DRUGS, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 26 Apr 2016 (9 years ago) |
Date of dissolution: | 28 Mar 2022 |
Entity Number: | 000-361-039 |
Register Number: | 000361039 |
County: | Jackson |
Place of Formation: | Jackson County |
Registered Office Street Address: | 410 F. PARKS AVENUESCOTTSBORO, AL 35768 |
Registered Office Street Address ZIP Code: | 35768 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588062004 | 2014-12-16 | 2014-12-16 | 410 PARKS AVE STE F, SCOTTSBORO, AL, 357682437, US | 410 PARKS AVE STE F, SCOTTSBORO, AL, 357682437, US | |||||||||||||||||||||||||||||||
|
Phone | +1 256-999-0410 |
Fax | 2569990411 |
Authorized person
Name | WILLIAM HANEY |
Role | SUPERVISOR PHARMACIST |
Phone | 2569990410 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 114439 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 3336C0004X - Compounding Pharmacy |
Is Primary | No |
Other Provider Identifiers
Issuer | PK |
Number | 2149300 |
Name | Role | Address |
---|---|---|
HOLLAND, SANFORD H | Agent | 416 F. PARKS AVENUESCOTTSBORO, AL 35768 |
Name | Role | Address |
---|---|---|
HOLLAND, SANFORD H | Organizer | 416 F. PARKS AVENUESCOTTSBORO, AL 35768 |
HANEY, WILLIAM V | Organizer | 410 F. PARKS AVENUESCOTTSBORO, AL 35768 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State