Name: | Hemophilia Infusion Managers, L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 01 Jun 2007 (17 years ago) (Companies founded in June 2007) |
Entity Number: | 000-495-429 |
Register Number: | 000495429 |
ZIP code: | 36551 (Companies in Baldwin, 36551) |
County: | Baldwin |
Place of Formation: | Baldwin County |
Principal Address: | LOXLEY, AL |
Registered Office Street Address: | 1920 E RELHAM DRLOXLEY, AL 36551 |
Activities
PROVIDE HEMOPHILIA RELATED INFUSION PRODUCTS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1801089875 | 2007-08-23 | 2009-10-06 | 3142 1ST AVE, LOXLEY, AL, 365514569, US | 3142 1ST AVE, LOXLEY, AL, 365514569, US | |||||||||||||||||||||||
|
Phone | +1 251-964-8885 |
Fax | 2519648886 |
Authorized person
Name | ERIC MOSLEY |
Role | PRESIDENT |
Phone | 2514592256 |
Taxonomy
Taxonomy Code | 3336S0011X - Specialty Pharmacy |
License Number | 112979 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
Number | 0134736 |
Name | Role |
---|---|
MOSLEY, ERIC | Member |
LOCKLAR, DAWN | Member |
GOINS, JAMES ANTHONY | Member |
Name | Role |
---|---|
MOSLEY, ERIC | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State