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Vital Care of Central Alabama, L.L.C.

Details

Name: Vital Care of Central Alabama, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 26 Aug 2005 (19 years ago)
Date of dissolution: 21 Dec 2010
Entity Number: 000-468-074
Register Number: 000468074
County: Chilton
Place of Formation: Chilton County
Principal Address: CLANTON, AL
Registered Office Street Address: 684 CO RD 199CLANTON, AL 35046
Registered Office Street Address ZIP Code: 35046

Activities HEALTHCARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043340409 2007-03-06 2020-08-22 248 KEYSTONE DRIVE, CLANTON, AL, 350452975, US 248 KEYSTONE DRIVE, CLANTON, AL, 350452975, US

Contacts

Phone +1 205-280-4175
Fax 2052804182

Authorized person

Name MR. MARK THOMPSON CONRADI
Role PRESIDENT
Phone 2052804176

Taxonomy

Taxonomy Code 333600000X - Pharmacy
License Number 112749
State AL
Is Primary Yes

Agent

Name Role
CONRADI, MARK T Agent

Member

Name Role
CONRADI, MARK T Member
MADDOX, JAMES E Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State