| Name: | Haley's Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Jul 2010 (14 years ago) (Companies founded in July 2010) |
| Entity Number: | 000-449-512 |
| Register Number: | 000449512 |
| ZIP code: | 35565 (Companies in Winston, 35565) |
| County: | Winston |
| Place of Formation: | Winston County |
| Principal Address: | HALEYVILLE, AL |
| Registered Office Street Address: | 1625 21ST STHALEYVILLE, AL 35565 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124334677 | 2010-08-22 | 2022-06-07 | 1625 21ST ST, HALEYVILLE, AL, 355652039, US | 1625 21ST ST, HALEYVILLE, AL, 355652039, US | |||||||||||||||||||||||
|
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| Phone | +1 205-486-4700 |
| Fax | 2054861948 |
Authorized person
| Name | HALEY DOBBS |
| Role | PHARMACIST |
| Phone | 2054864700 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 123023 |
| State | AL |
| Name | Role |
|---|---|
| DOBBS, WALLACE HALEY | Member |
| Name | Role |
|---|---|
| DOBBS, WALLACE HALEY | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
