| Name: | J's Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 May 2010 (14 years ago) |
| Entity Number: | 000-447-451 |
| Register Number: | 000447451 |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2 NORTH JACKSON ST., STE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
RETAIL PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669791737 | 2010-05-27 | 2023-03-13 | 207 WELDON STREET, WILSONVILLE, AL, 35186, US | 207 WELDON STREET, WILSONVILLE, AL, 35186, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-671-5270 |
| Fax | 2056715272 |
Authorized person
| Name | MR. MICHAEL F KUENZLER |
| Role | OWNER |
| Phone | 2056715270 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113424 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121783 |
| State | AL |
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0136514 |
| Name | Role |
|---|---|
| CAPITOL CORPORATE SERVICES INC | Agent |
| Name | Role | Address |
|---|---|---|
| KUENZLER, MICHAEL | Member | 207 WELDON STREETWILSONVILLE, AL 35186 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
