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 |
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 | |||||||||||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
BROWN, TIMOTHY B | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State