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Heritage Compounding Pharmacy, LLC

Headquarter

Details

Name: Heritage Compounding Pharmacy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Feb 2006 (19 years ago)
Entity Number: 000-474-725
Register Number: 000474725
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 15 MIDTOWN PARK EASTMOBILE, AL 36606
Registered Office Street Address ZIP Code: 36606

Activities COMPOUNDING PHARMACY OPERATION

Links between entities

Type Company Name Company Number State
Headquarter of Heritage Compounding Pharmacy, LLC LLC_04189361 ILLINOIS
Headquarter of Heritage Compounding Pharmacy, LLC 51ac85de-7063-e311-8e3a-001ec94ffe7f MINNESOTA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2017 204243403 2018-07-25 HERITAGE COMPOUNDING PHARMACY 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 24208 US HWY 98, STE C, FAIRHOPE, AL, 36532

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2017 204243403 2018-07-25 HERITAGE COMPOUNDING PHARMACY 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 24208 US HWY 98, STE C, FAIRHOPE, AL, 36532

Signature of

Role Plan administrator
Date 2018-07-25
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2016 204243403 2017-07-13 HERITAGE COMPOUNDING PHARMACY 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 11 MIDTOWN PARK EAST, MOBILE, AL, 36606

Signature of

Role Plan administrator
Date 2017-07-13
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2015 204243403 2016-07-05 HERITAGE COMPOUNDING PHARMACY 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 11 MIDTOWN PARK EAST, MOBILE, AL, 36606

Signature of

Role Plan administrator
Date 2016-07-05
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2014 204243403 2015-07-09 HERITAGE COMPOUNDING PHARMACY 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 11 MIDTOWN PARK EAST, MOBILE, AL, 36606

Signature of

Role Plan administrator
Date 2015-07-09
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2013 204243403 2014-07-10 HERITAGE COMPOUNDING PHARMACY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 11 MIDTOWN PARK EAST, MOBILE, AL, 36606

Signature of

Role Plan administrator
Date 2014-07-10
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2012 204243403 2013-07-08 HERITAGE COMPOUNDING PHARMACY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 11 MIDTOWN PARK EAST, MOBILE, AL, 36606

Signature of

Role Plan administrator
Date 2013-07-08
Name of individual signing CHRIS BURGESS
HERITAGE COMPOUNDING PHARMACY 401(K) PLAN 2011 204243403 2012-07-31 HERITAGE COMPOUNDING PHARMACY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 325900
Sponsor’s telephone number 2514720814
Plan sponsor’s address 15 MIDTOWN PARK EAST, MOBILE, AL, 36606

Plan administrator’s name and address

Administrator’s EIN 204243403
Plan administrator’s name HERITAGE COMPOUNDING PHARMACY
Plan administrator’s address 15 MIDTOWN PARK EAST, MOBILE, AL, 36606
Administrator’s telephone number 2514720814

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing CHRIS BURGESS

Agent

Name Role
BURGESS, CHRISTOPHER A Agent

Member

Name Role
BURGESS, CHRISTOPHER A Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State