| Name: | Downey Drug Anniston, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jul 2006 (18 years ago) |
| Entity Number: | 000-481-969 |
| Register Number: | 000481969 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 2427 HWY 202ANNISTON, AL 36201 |
| Registered Office Street Address ZIP Code: | 36201 |
Activities
DRUG STORE
| 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 | |||||||||||||||||||||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| DOWNEY, JAMES C | Agent | 2427 HIGHWAY 202ANNISTON, AL 36201 |
| 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
