| Name: | Camp Drugs, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2006 (18 years ago) (Companies founded in June 2006) |
| Entity Number: | 000-480-053 |
| Register Number: | 000480053 |
| ZIP code: | 35978 (Companies in De Kalb, 35978) |
| County: | De Kalb |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 18294 BROAD ST.HENAGAR, AL 35978 |
| Principal Address: | HENAGAR, AL |
Activities
INDEPENDENT PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083786305 | 2006-11-14 | 2023-03-07 | 18294 BROAD ST, HENAGAR, AL, 359784374, US | 18294 BROAD ST, HENAGAR, AL, 359784374, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-657-5187 |
| Fax | 2566572232 |
Authorized person
| Name | KEVIN CAMP |
| Role | PHARMACIST |
| Phone | 2566575187 |
Taxonomy
| Taxonomy Code | 183500000X - Pharmacist |
| License Number | 13788 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100003743 |
| State | AL |
| Name | Role |
|---|---|
| CAMP, KEVIN | Member |
| Name | Role |
|---|---|
| CAMP, KEVIN | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
