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Salem Pharmacy LLC

Details

Name: Salem Pharmacy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Jun 2017 (7 years ago) (Companies founded in June 2017)
Entity Number: 000-393-298
Register Number: 000393298
ZIP code: 35620 (Companies in Limestone, 35620)
County: Limestone
Place of Formation: Limestone County
Registered Office Street Address: 28730 ALABAMA HIGHWAY 99 SUITE AELKMONT, AL 35620

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548787898 2017-08-28 2022-07-21 28730 AL HIGHWAY 99 STE A, ELKMONT, AL, 356207952, US 28730 AL HIGHWAY 99 STE A, ELKMONT, AL, 356207952, US

Contacts

Phone +1 256-216-1820
Fax 2562161823

Authorized person

Name MARK K JACKSON
Role OWNER
Phone 2562161820

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 114738
State AL
Is Primary Yes

Agent

Name Role Address
JACKSON, MARK Agent 4108 ASHINGTON DRIVEBIRMINGHAM, AL 35242

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State