| Name: | CrossRoads Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 17 Jan 2017 (8 years ago) |
| Date of dissolution: | 31 Mar 2023 |
| Entity Number: | 000-381-369 |
| Register Number: | 000381369 |
| County: | Jefferson |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 1025 23RD STREET SOUTH SUITE 103BIRMINGHAM, AL 35205 |
| Registered Office Street Address ZIP Code: | 35205 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700391703 | 2017-12-12 | 2017-12-12 | PO BOX 189, SALEM, AL, 368740189, US | 867 LEE ROAD 248, SMITHS STATION, AL, 368773295, US | |||||||||||||||||||||||||
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| Phone | +1 706-577-5676 |
| Phone | +1 334-291-5328 |
Authorized person
| Name | DR. ALMA DEATON REDDING |
| Role | OWNER/PIC |
| Phone | 7065775676 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 114769 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA PHARMACY LICENSE |
| Number | 114769 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SKINNER, DAVID C | Agent | 1025 23RD STREET SOUTHBIRMINGHAM, AL 35205 |
| Name | Role | Address |
|---|---|---|
| REDDING, ANN D | Organizer | 867 LEE ROAD 248SMITH STATION, AL 36877 |
| REDDING, ALBERT DICKEY | Organizer | 867 LEE ROAD 248SMITH STATION, AL 36877 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
