| Name: | The Georgiana Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 06 Jul 2010 (14 years ago) |
| Date of dissolution: | 27 Dec 2016 |
| Entity Number: | 000-449-251 |
| Register Number: | 000449251 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 200 CAHABA PARK CIRCLE STE 125BIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
Activities
PHARMACY/OTHER MANAGEMENT SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699084962 | 2010-10-04 | 2010-10-04 | 186 MEDICAL DR, WINFIELD, AL, 355945002, US | 236 JONES STREET, GEORGIANA, AL, 36033, US | |||||||||||||||||||||||
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| Phone | +1 205-487-3079 |
| Fax | 2054873138 |
| Phone | +1 334-376-9800 |
| Fax | 3343769807 |
Authorized person
| Name | BRETT JOHNSON SPEEGLE |
| Role | OWNER |
| Phone | 3343769800 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113446 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIXON, GREG | Agent | 44 INVERNESS CENTER PARKWAY, SUITE 140BIRMINGHAM, AL 35242 |
| Name | Role |
|---|---|
| REVOLUTION HOLDINGS LLC | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
