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Downey Drug Anniston, LLC

Details

Name: Downey Drug Anniston, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Jul 2006 (18 years ago) (Companies founded in July 2006)
Entity Number: 000-481-969
Register Number: 000481969
ZIP code: 36201 (Companies in Calhoun, 36201)
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 2427 HWY 202ANNISTON, AL 36201

Activities DRUG STORE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396850285 2006-08-20 2018-12-31 2427 AL HIGHWAY 202, ANNISTON, AL, 362015324, US 2427 AL HIGHWAY 202 STE A, ANNISTON, AL, 362015391, US

Contacts

Phone +1 256-237-9426
Fax 2562374352

Authorized person

Name JOHNNIE ELLIS
Role PHARMACIST
Phone 2562361531

Taxonomy

Taxonomy Code 333600000X - Pharmacy
Is Primary No
Taxonomy Code 3336C0003X - Community/Retail Pharmacy
License Number 111208
State AL
Is Primary Yes

Other Provider Identifiers

Issuer PK
Number 1988447
Issuer MEDICAID
Number 100003717
State AL

Agent

Name Role Address
DOWNEY, JAMES C Agent 2427 HIGHWAY 202ANNISTON, AL 36201

Member

Name Role Address
DOWNEY, JAMES C Member 2427 HIGHWAY 202ANNISTON, AL 36201
ELLIS, JOHNNIE A Member No data

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State