Name: | St. Clair Drug Company LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 24 Apr 2007 (18 years ago) (Companies founded in April 2007) |
Entity Number: | 000-493-572 |
Register Number: | 000493572 |
ZIP code: | 35974 (Companies in De Kalb, 35974) |
County: | De Kalb |
Place of Formation: | Cherokee County |
Principal Address: | GERALDINE, AL |
Registered Office Street Address: | 41554 AL HWY 75GERALDINE, AL 35974 |
Activities
INDEPENDENT PHARMACY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972686012 | 2006-10-23 | 2018-08-16 | PO BOX 158, GERALDINE, AL, 359740158, US | 45 RICHEY STREET, GERALDINE, AL, 359743748, US | |||||||||||||||||||||||||||
|
Phone | +1 256-659-2117 |
Fax | 2566592117 |
Authorized person
Name | DANIEL ST CLAIR |
Role | OWNER |
Phone | 2565045804 |
Taxonomy
Taxonomy Code | 333600000X - Pharmacy |
Is Primary | No |
Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
License Number | 104380 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PK |
Number | 1988719 |
Name | Role |
---|---|
ST CLAIR, DANIEL | Agent |
Name | Role |
---|---|
ST CLAIR, DANIEL | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State