| 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
| 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 | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| 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 |
| Name | Role | Address |
|---|---|---|
| KAUFMAN, TIMOTHY W | Agent | 1000-A CODY ROAD SMOBILE, AL 36695 |
| Name | Role |
|---|---|
| SPRINGHILL MEDICAL COMPLEX INC | Member |
| 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
