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Crowell Family Pharmacy, L.L.C.

Details

Name: Crowell Family Pharmacy, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Nov 2009 (15 years ago) (Companies founded in November 2009)
Entity Number: 000-440-506
Register Number: 000440506
ZIP code: 35950 (Companies in Marshall, 35950)
County: Marshall
Place of Formation: DeKalb County
Principal Address: ALBERTVILLE, AL
Registered Office Street Address: 313 EAST SAND MOUNTAIN DRALBERTVILLE, AL 35950

Activities OPERATE RETAIL DRUG STORE(S)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093828642 2006-08-17 2012-08-03 313 SAND MOUNTAIN DR E, ALBERTVILLE, AL, 359502329, US 313 SAND MOUNTAIN DR E, ALBERTVILLE, AL, 359502329, US

Contacts

Phone +1 256-878-6930
Fax 2568786947

Authorized person

Name RODNEY CROWELL
Role OWNER
Phone 2568786930

Taxonomy

Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 104010
State AL
Is Primary Yes

Other Provider Identifiers

Issuer NCPDP PROVIDER IDENTIFICATION NUMBER
Number 0103604

Agent

Name Role
CROWELL, RODNEY Agent

Member

Name Role
CROWELL, RODNEY Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State