| Name: | BGA Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Jul 2016 (8 years ago) (Companies founded in July 2016) |
| Entity Number: | 000-366-682 |
| Register Number: | 000366682 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1 INDEPENDENCE PLAZA STE 900HOMEWOOD, AL 35209 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386186641 | 2016-11-17 | 2017-05-01 | 1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX, 760513177, US | 1 INDEPENDENCE PLZ STE 900, HOMEWOOD, AL, 352092643, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 817-572-0009 |
| Fax | 8177201039 |
| Phone | +1 205-259-5460 |
| Fax | 2052595463 |
Authorized person
| Name | TAMMIE MISKIMINS |
| Role | MANAGER, LICENSING |
| Phone | 8175720009 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114671 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336S0011X - Specialty Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | PK |
| Number | 2166248 |
| Name | Role |
|---|---|
| PHILPOT, CRAIG H DR | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
