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Monroe Drugs, LLC

Details

Name: Monroe Drugs, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jul 2016 (8 years ago) (Companies founded in July 2016)
Entity Number: 000-367-613
Register Number: 000367613
ZIP code: 36444 (Companies in Monroe, 36444)
County: Monroe
Place of Formation: Monroe County
Registered Office Street Address: 14643 HWY 41 NORTHFRANKLIN, AL 36444

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568911915 2016-09-27 2017-01-18 PO BOX 208, MONROEVILLE, AL, 364610208, US 360 S ALABAMA AVE, MONROEVILLE, AL, 364601806, US

Contacts

Phone +1 251-743-2575
Fax 2515753887

Authorized person

Name TIMOTHY BROWN
Role MANAGING MEMBER
Phone 2517432575

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary No
Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114661
State AL
Is Primary Yes
Taxonomy Code 3336C0004X - Compounding Pharmacy
Is Primary No

Other Provider Identifiers

Issuer PK
Number 2164502
Issuer MEDICAID
Number 192162
State AL

Agent

Name Role
BROWN, TIMOTHY B Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State