| Name: | Arley Country Pharmacy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 02 May 2006 (19 years ago) (Companies founded in May 2006) |
| Date of dissolution: | 06 Aug 2018 |
| Entity Number: | 000-478-593 |
| Register Number: | 000478593 |
| ZIP code: | 35541 (Companies in Winston, 35541) |
| County: | Winston |
| Place of Formation: | Walker County |
| Principal Address: | ARLEY, AL |
| Registered Office Street Address: | 6168 CO RD 41ARLEY, AL 35541 |
Activities
PHARMACY OPERATION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932282084 | 2006-10-23 | 2011-04-20 | PO BOX 477, ARLEY, AL, 355410477, US | 6168 COUNTY ROAD 41, ARLEY, AL, 355413372, US | |||||||||||||||||||||||
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| Phone | +1 205-295-9290 |
| Fax | 2052959289 |
Authorized person
| Name | JENELLA BURTON |
| Role | OWNER |
| Phone | 2053870526 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112871 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0134128 |
| Name | Role |
|---|---|
| BURTON, JENELLA | Agent |
| Name | Role |
|---|---|
| BURTON, JENELLA | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
