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Springhill Pharmacy, LLC

Details

Name: Springhill Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Oct 2004 (20 years ago)
Entity Number: 000-456-261
Register Number: 000456261
Historical Names: West Mobile Comprehensive Imaging, LLC
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 1000-A CODY ROAD S.MOBILE, AL 36695
Registered Office Street Address ZIP Code: 36695

Activities PROVIDE COMPENSATIVE IMAGING SERVICE/MEDICAL OFFICE/SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942735493 2017-04-21 2017-04-21 3715 DAUPHIN ST, SUITE 1-EE, MOBILE, AL, 366081771, US 3715 DAUPHIN ST, SUITE 1-EE, MOBILE, AL, 366081771, US

Contacts

Phone +1 251-410-3876
Fax 2514103871

Authorized person

Name MARK HARDISON
Role DIRECTOR OF PHARMACY
Phone 2514103870

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336L0003X - Long Term Care Pharmacy
License Number 114670
State AL
Is Primary Yes

Other Provider Identifiers

Issuer PK
Number 2168980

Agent

Name Role Address
KAUFMAN, TIMOTHY W Agent 1000-A CODY ROAD SMOBILE, AL 36695

Member

Name Role
SPRINGHILL MEDICAL COMPLEX INC Member

Events

Event Date Event Type Old Value New Value
2006-01-30 Name Change West Mobile Comprehensive Imaging, LLC Springhill Pharmacy, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State