| Name: | Hometown Pharmacy Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 30 Jun 2008 (16 years ago) (Companies founded in June 2008) |
| Entity Number: | 000-422-073 |
| Register Number: | 000422073 |
| ZIP code: | 35226 (Companies in Jefferson, 35226) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2437 JAMESTOWN RDBIRMINGHAM, AL 35226 |
Activities
PHARMACY/DRUGSTORE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942455779 | 2008-11-20 | 2018-07-19 | 519 W TOWN PLZ, BESSEMER, AL, 350205347, US | 519 W TOWN PLZ, BESSEMER, AL, 350205347, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-426-1922 |
| Fax | 2054261927 |
Authorized person
| Name | TIMOTHY MULLINS |
| Role | OWNER, PIC, AO |
| Phone | 2054261922 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113218 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2118025 |
| Issuer | MEDICAID |
| Number | 106239 |
| State | AL |
| Name | Role |
|---|---|
| MULLINS, TIMOTHY D | Agent |
| Name | Role |
|---|---|
| MULLINS, TIMOTHY D | Member |
| MULLINS, SONDRA K | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
