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Vaccination Services of Alabama, LLC

Details

Name: Vaccination Services of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 04 Nov 2009 (15 years ago)
Date of dissolution: 16 Jan 2013
Entity Number: 000-439-833
Register Number: 000439833
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 804 HILLFLO AVEOPELIKA, AL 36801
Registered Office Street Address ZIP Code: 36801
Principal Address: OPELIKA, AL

Activities MEDICAL VACCINATION/HEALTH SCREENING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033449376 2010-01-08 2010-01-08 804 HILLFLO AVE, OPELIKA, AL, 368012206, US 804 HILLFLO AVE, OPELIKA, AL, 368012206, US

Contacts

Phone +1 334-319-3279

Authorized person

Name MR. GARY A WOOD
Role OWNER
Phone 3343193279

Taxonomy

Taxonomy Code 163W00000X - Registered Nurse
License Number 1086070
State AL
Is Primary Yes

Agent

Name Role
WOOD, GARY Agent

Member

Name Role
WOOD, GARY Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State