| Name: | CaremarkPCS Alabama Mail Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Jul 2005 (19 years ago) (Companies founded in July 2005) |
| Entity Number: | 000-466-155 |
| Register Number: | 000466155 |
| Historical Names: |
CaremarkPCS Alabama Specialty Pharmacy, LLC
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750362653 | 2005-11-08 | 2009-03-25 | PO BOX 840688, DALLAS, TX, 752840688, US | 2700 MILAN CT, BIRMINGHAM, AL, 352116919, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 800-225-5967 |
| Fax | 9097994364 |
| Phone | +1 205-769-4000 |
| Fax | 2057694983 |
Authorized person
| Name | MR. DAVID W GOLDING |
| Role | VICE PRESIDEN |
| Phone | 8002255967 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 111574 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 111574 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | 111574 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 468102900 |
| State | MD |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| CAREMARKPCS ALABAMA MAIL PHARMACY | Member |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-07-28 | Name Merged | No data | AdvancePCS Mail Services of Birmingham, Inc. |
| 2005-07-14 | Name Change | CaremarkPCS Alabama Specialty Pharmacy, LLC | CaremarkPCS Alabama Mail Pharmacy, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
