| Name: | Medical Center Pharmacy Florence, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Dec 2017 (7 years ago) (Companies founded in December 2017) |
| Entity Number: | 000-450-359 |
| Register Number: | 000450359 |
| ZIP code: | 35660 (Companies in Colbert, 35660) |
| County: | Colbert |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 507 NORTH COLUMBIA AVENUESHEFFIELD, AL 35660 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497213409 | 2019-03-08 | 2023-05-12 | PO BOX 2584, MUSCLE SHOALS, AL, 356622584, US | 1751 VETERANS DR, SUITE 105, FLORENCE, AL, 35630, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-770-0778 |
| Fax | 2563860903 |
Authorized person
| Name | MICHAEL SIGMON |
| Role | MANAGING MEMBER |
| Phone | 2567700778 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| Is Primary | Yes |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 228989 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SIGMON, MICHAEL K | Agent | 1905 BEECHWOOD CTFLORENCE, AL 35630 |
| Name | Role | Address |
|---|---|---|
| SIGMON, MICHAEL | Member | No data |
| ADAY, KENNETH | Member | No data |
| OWEN, PHIL | Member | 165 CHESTNUT DR SUITE DMADISON, AL 35758 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
