| Name: | Monrovia Pharmacy LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Jul 2010 (14 years ago) |
| Entity Number: | 000-449-689 |
| Register Number: | 000449689 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 1878 JEFF RD STE DHUNTSVILLE, AL 35806 |
| Registered Office Street Address ZIP Code: | 35806 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093029530 | 2010-07-26 | 2011-04-01 | 1878 JEFF RD NW, SUITE D, HUNTSVILLE, AL, 358064260, US | 1878 JEFF RD NW STE D, HUNTSVILLE, AL, 358064261, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-489-7626 |
Authorized person
| Name | MICHAEL DOOLEY |
| Role | OWNER |
| Phone | 8505859200 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113412 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 3336I0012X - Institutional Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0136730 |
| Name | Role |
|---|---|
| DOOLEY, MICHAEL | Agent |
| Name | Role |
|---|---|
| COVENANT PROPERTIES LLC | Member |
| GRAND VISION DEVELOPMENT LLC | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
