| Name: | Nelms, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Oct 2017 (7 years ago) (Companies founded in October 2017) |
| Entity Number: | 000-406-276 |
| Register Number: | 000406276 |
| ZIP code: | 36879 (Companies in Lee, 36879) |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2858 LEE ROAD 81WAVERLY, AL 36879 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780736959 | 2007-01-17 | 2018-01-23 | 203 W LEE ST, TUSKEGEE, AL, 360831719, US | 203 W LEE ST, TUSKEGEE, AL, 360831719, US | |||||||||||||||||||||||||
|
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| Phone | +1 334-727-2150 |
| Fax | 3347276504 |
Authorized person
| Name | TRAE NELMS |
| Role | OWNER |
| Phone | 3347272150 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 101597 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100001785 |
| State | AL |
| Name | Role |
|---|---|
| NELMS, TRAE | Agent |
| Name | Role |
|---|---|
| NELMS, TRAE | Organizer |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
