| Name: | Express Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Nov 2009 (15 years ago) |
| Entity Number: | 000-440-559 |
| Register Number: | 000440559 |
| County: | Talladega |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 200 EAST WINDS DRIVEALPINE, AL 35014 |
| Registered Office Street Address ZIP Code: | 35014 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518297514 | 2010-01-13 | 2023-05-30 | PO BOX 6439, TALLADEGA, AL, 351616439, US | 320 BATTLE ST W, TALLADEGA, AL, 351602431, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-322-1056 |
| Phone | +1 256-362-1120 |
| Fax | 2567611377 |
Authorized person
| Name | ALICIA FRANKLIN HOLBROOK |
| Role | OWNER |
| Phone | 2563621120 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113336 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2123502 |
| Name | Role |
|---|---|
| HOLBROOK, ALICIA F. | Agent |
| Name | Role | Address |
|---|---|---|
| WALKER, MARK | Member | 510 KIRKLAND STABBEVILLE, AL 36310 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
