Name: | Dothan RX, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 28 Sep 2016 (8 years ago) |
Entity Number: | 000-372-836 |
Register Number: | 000372836 |
County: | Houston |
Place of Formation: | Houston County |
Registered Office Street Address: | 287 HEALTHWEST DRIVEDOTHAN, AL 36303 |
Registered Office Street Address ZIP Code: | 36303 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104359041 | 2017-04-07 | 2023-08-29 | 287 HEALTHWEST DR, DOTHAN, AL, 363032031, US | 287 HEALTHWEST DR, DOTHAN, AL, 363032031, US | |||||||||||||||||||||||
|
Phone | +1 334-305-0055 |
Fax | 3343050056 |
Authorized person
Name | LORI KIRKLAND |
Role | PHARM.D. |
Phone | 3343050055 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
License Number | 114703 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
Is Primary | No |
Name | Role |
---|---|
BUTTS, VENTY | Agent |
Name | Role |
---|---|
CHAMBER, JOE M | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State