| Name: | TMK Enterprises, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Aug 2016 (8 years ago) |
| Entity Number: | 000-368-853 |
| Register Number: | 000368853 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 3346 MORGAN DRIVEVESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992248470 | 2016-12-01 | 2019-07-25 | 3346 MORGAN DR, VESTAVIA HILLS, AL, 352163052, US | 3346 MORGAN DR, VESTAVIA HILLS, AL, 352163052, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-259-7100 |
| Fax | 2052597101 |
Authorized person
| Name | KERI BATES |
| Role | OWNER, PIC, AO |
| Phone | 2052597100 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114675 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2166467 |
| Issuer | MEDICAID |
| Number | 193720 |
| State | AL |
| Name | Role |
|---|---|
| BATES, KERI | Agent |
| Name | Role | Address |
|---|---|---|
| CLARK, JOHN W IV | Organizer | 2100 FIRST AVENUE N SUITE 600BIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
