| 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) |
| Entity Number: | 000-493-572 |
| Register Number: | 000493572 |
| County: | De Kalb |
| Place of Formation: | Cherokee County |
| Principal Address: | GERALDINE, AL |
| Registered Office Street Address: | 41554 AL HWY 75GERALDINE, AL 35974 |
| Registered Office Street Address ZIP Code: | 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 | |||||||||||||||||||||||||||
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| 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
