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)
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 | |||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
CROWELL, RODNEY | Agent |
Name | Role |
---|---|
CROWELL, RODNEY | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State