| Name: | Moultrie Pharmacy at Langtown, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 May 2017 (8 years ago) (Companies founded in May 2017) |
| Entity Number: | 000-390-574 |
| Register Number: | 000390574 |
| ZIP code: | 35673 (Companies in Morgan, 35673) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | 27 SPARKS STTRINITY, AL 35673 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366965576 | 2017-07-19 | 2017-07-19 | 1380 OLD HIGHWAY 24, TRINITY, AL, 356735600, US | 20332 AL HIGHWAY 33, MOULTON, AL, 356509204, US | |||||||||||||||||||
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| Phone | +1 256-566-3174 |
| Fax | 2563503366 |
Authorized person
| Name | DR. BENJAMIN DAVID MOULTRIE |
| Role | OWNER |
| Phone | 2565663174 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOULTRIE, BENJAMIN D | Agent | 27 SPARKS STTRINITY, AL 35673 |
| Name | Role | Address |
|---|---|---|
| MOULTRIE, BENJAMIN D | Organizer | 27 SPARKS STTRINITY, AL 35673 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
