| Name: | Alchemy Pharmacy Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Dec 2016 (8 years ago) |
| Entity Number: | 000-378-126 |
| Register Number: | 000378126 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2181 KELLEY LANEHOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912419771 | 2017-11-01 | 2021-01-29 | 81 WEATHERLY CLUB DR STE A, ALABASTER, AL, 350073175, US | 81 WEATHERLY CLUB DR STE A, ALABASTER, AL, 350073175, US | |||||||||||||||||||||||||
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| Phone | +1 205-358-3470 |
| Fax | 2053583635 |
Authorized person
| Name | DR. DANIEL BLAIR |
| Role | OWNER |
| Phone | 2053583470 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114760 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AL PHARMACY LICENSE |
| Number | 114760 |
| State | AL |
| Name | Role |
|---|---|
| BLAIR, KIMBERLY B | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
