| Name: | Medtown South, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 13 Dec 2006 (18 years ago) (Companies founded in December 2006) |
| Date of dissolution: | 08 Apr 2014 |
| Entity Number: | 000-487-529 |
| Register Number: | 000487529 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2090 COLUMBIANA RD STE 2000BIRMINGHAM, AL 35216 |
Activities
PHARMACY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194846642 | 2007-04-03 | 2010-05-28 | 1974 CHANDALAR DR, STE B, PELHAM, AL, 351244340, US | 1974 CHANDALAR DR, STE B, PELHAM, AL, 351244340, US | |||||||||||||||||||
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| Phone | +1 205-621-1515 |
| Fax | 2056217557 |
Authorized person
| Name | CHRIS SIMPSON |
| Role | PHRM MANG |
| Phone | 2056211515 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 0134356 |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| MEDFUSION RX LLC | Member | No data |
| SIMPSON, CHRIS | Member | 40 COUNTY ROAD 2102SALEM, AL 36874 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
